Provider Demographics
NPI:1467283028
Name:BISIGNANO, SUMMER (APRN)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:BISIGNANO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3647 SIMONTON CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7747
Mailing Address - Country:US
Mailing Address - Phone:813-498-9200
Mailing Address - Fax:
Practice Address - Street 1:3647 SIMONTON CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-7747
Practice Address - Country:US
Practice Address - Phone:813-498-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034526363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner