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NPI Code Detail

MEDICARE: DANIELA SUSANA SHILLINGTON ARNP

MEDICARE:   DANIELA SUSANA SHILLINGTON  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 PractitionerARNP9324205FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770628380
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA SUSANA SHILLINGTON ARNP
Provider Business Mailing Address
First Line : 851 NW 19TH TER
Second Line :
City : GAINESVILLE
State : FL
Zip : 32603-1021
Country : US
Telephone Number : 352-359-8499
Fax Number :
Provider Business Practice Location Address
First Line : 4750 SW 91ST DR
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-8140
Country : US
Telephone Number : 352-367-9602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 11/14/2016

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Directions to “ DANIELA SUSANA SHILLINGTON ARNP” Practice Location

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