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NPI Code Detail

MEDICARE: MRS. MISSY DAS ARNP

MEDICARE:  MRS. MISSY  DAS  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11004863FL

General Provider Information

NPI Number : 1265011829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MISSY DAS ARNP
Provider Business Mailing Address
First Line : 7551 SKIPPER LN
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32317-8706
Country : US
Telephone Number : 850-672-9119
Fax Number :
Provider Business Practice Location Address
First Line : 2618 W TENNESSEE ST
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32304-2512
Country : US
Telephone Number : 850-574-7455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 04/02/2021

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Directions to “ MRS. MISSY DAS ARNP” Practice Location

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