Provider Demographics
NPI:1982342069
Name:LUND, PAMELA Y (MSN, FNP-BC)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:Y
Last Name:LUND
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 WILDFLOWER WAY
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4053
Mailing Address - Country:US
Mailing Address - Phone:407-415-9217
Mailing Address - Fax:
Practice Address - Street 1:977 WILDFLOWER WAY
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4053
Practice Address - Country:US
Practice Address - Phone:407-415-9217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11013619363LF0000X
FLAPRN11013619363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily