Healthcare Provider Details

I. General information

NPI: 1669872396
Provider Name (Legal Business Name): BECKIE ANN DART-FROHOCK NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CELEBRATION PL
KISSIMMEE FL
34747-4970
US

IV. Provider business mailing address

4901 EASTLAKE VISTA DR
SAINT CLOUD FL
34771-8871
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2528
  • Fax:
Mailing address:
  • Phone: 186-210-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberAPRN9423233
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number2014031128
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberARNP9423233
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: