Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emmanuela Derisbrun, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1710561592

Emmanuela Derisbrun, NURSEPRACTITIONER is a Nurse Practitioner in Longwood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

1917 Boothe Cir
Longwood, FL 32750-6708
Phone: (407) 679-3337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence F12200582 (FL)

Record details

NPI number1710561592
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 8, 2021
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

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