Healthcare Provider Details

I. General information

NPI: 1992736110
Provider Name (Legal Business Name): SHAWNA ANN DORAN A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 04/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14415 NW 144TH PL
ALACHUA FL
32615-5270
US

IV. Provider business mailing address

6228 NW 43RD ST STE B
GAINESVILLE FL
32653-8871
US

V. Phone/Fax

Practice location:
  • Phone: 352-871-1995
  • Fax:
Mailing address:
  • Phone: 352-871-1995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1557262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: