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NPI Code Detail

MEDICARE: MS. DARLENE KAY FRITSMA ARNP

MEDICARE:  MS. DARLENE KAY FRITSMA  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
1363LA2200XAdult Health Nurse PractitionerFL740302FL

General Provider Information

NPI Number : 1518069772
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DARLENE KAY FRITSMA ARNP
Provider Business Mailing Address
First Line : 1405 HYDE PARK DR
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-8144
Country : US
Telephone Number : 407-679-7240
Fax Number : 407-679-7240
Provider Business Practice Location Address
First Line : 6000 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4615
Country : US
Telephone Number : 407-245-5951
Fax Number : 407-245-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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