Healthcare Provider Details

I. General information

NPI: 1760701197
Provider Name (Legal Business Name): RACHEAL R SANTARPIA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 10/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 WEST LAKE MARY BLVD., SUITE 100 NEMOURS CHILDRENS CLINIC, LAKE MARY
LAKE MARY FL
32746-4885
US

IV. Provider business mailing address

P.O. BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND DE
19732-0191
US

V. Phone/Fax

Practice location:
  • Phone: 407-650-7000
  • Fax: 302-651-4945
Mailing address:
  • Phone: 302-651-4945
  • Fax: 302-651-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License NumberRN9222458
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9222458
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: