Provider Demographics
NPI:1992215693
Name:DRUMMOND, LUZ ANURI (NP)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:ANURI
Last Name:DRUMMOND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1046 MARWALT DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FWB
Mailing Address - State:FL
Mailing Address - Zip Code:32547
Mailing Address - Country:US
Mailing Address - Phone:850-243-2229
Mailing Address - Fax:833-449-3901
Practice Address - Street 1:1046 MARWALT DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547
Practice Address - Country:US
Practice Address - Phone:850-243-2229
Practice Address - Fax:833-449-3901
Is Sole Proprietor?:No
Enumeration Date:2017-10-07
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017904363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health