Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lucille Malvina Fantauzzi, APRN, FNP-C

Individual provider Registered Nurse · NPI 1609401967

Mrs. Lucille Malvina Fantauzzi, APRN, FNP-C is a Nurse Practitioner in Vero Beach, Florida. Qualified in 2020, 6 years ago. Practices with Indian River Health Services Inc, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1265 36th St
Vero Beach, FL 32960-6574
Phone: (772) 567-6340
Fax: (772) 567-3564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11006482 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9342743 (FL)

Record details

NPI number1609401967
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedMarch 6, 2020
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Indian River Health Services Inc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vero Beach