Healthcare Provider Details

I. General information

NPI: 1891856258
Provider Name (Legal Business Name): TERESA A NARDONTONIA MSN,ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6868 SAN CASA DR
ENGLEWOOD FL
34224-7910
US

IV. Provider business mailing address

6233 MCKINLEY TER
ENGLEWOOD FL
34224-2707
US

V. Phone/Fax

Practice location:
  • Phone: 941-474-3240
  • Fax: 941-475-9900
Mailing address:
  • Phone: 941-475-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP 9215119
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: