Healthcare Provider Details

I. General information

NPI: 1831405521
Provider Name (Legal Business Name): RASHONDA R MUSAWWIR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RASHONDA R DERICHO APRN

II. Dates (important events)

Enumeration Date: 08/19/2010
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 N MAGNOLIA AVE
ORLANDO FL
32803-3809
US

IV. Provider business mailing address

681 PRIMROSE WILLOW WAY
APOPKA FL
32712-3036
US

V. Phone/Fax

Practice location:
  • Phone: 407-423-7149
  • Fax:
Mailing address:
  • Phone: 407-496-0293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9194078
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9194078
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9194078
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: