Healthcare Provider Details

I. General information

NPI: 1598659005
Provider Name (Legal Business Name): JOANNE DUPUTEL EATON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOANNE ALEXANDRA DUPUTEL

II. Dates (important events)

Enumeration Date: 06/07/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 CHELSEA ST
ORLANDO FL
32803-2903
US

IV. Provider business mailing address

3401 CHELSEA ST
ORLANDO FL
32803-2903
US

V. Phone/Fax

Practice location:
  • Phone: 720-216-4323
  • Fax:
Mailing address:
  • Phone: 720-216-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number9689306
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number11041721
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: