Gladney, Lidia Vanessa
Gladney, Lidia Vanessa is an individual health care provider with primary practice located at 6900 Tavistock Lakes Blvd Ste 400 , Orlando FL 32827-7593. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gladney, Lidia Vanessa can be contacted via phone (305) 842-4947.Contact Information
Primary practice address
6900 Tavistock Lakes Blvd Ste 400
Orlando FL 32827-7593
Phone: (305) 842-4947
Fax: (407) 271-8526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ANRP9372900 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ANRP | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 9372900 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | APRN9372900 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN9372900 | Florida |
Profile Details
| NPI number | 1932681517 |
|---|---|
| LBN Legal business name | Gladney, Lidia Vanessa |
| Credentials | PMHNP-BC, FNP-C, DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2018 |
| Last updated | Apr 2nd, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932681517 | NPPES |
| Florida | MEDICAID | 101170400 | |
| Florida | Other | 19ZXG | |
| Florida | Other | 866H3 |
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