Healthcare Provider Details

I. General information

NPI: 1851484364
Provider Name (Legal Business Name): DARLENE K BERGER ARNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLENE K BEATY RN

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 UPPER PARK RD
ORLANDO FL
32814-6100
US

IV. Provider business mailing address

1442 TRAILHEAD PT
WINTER SPRINGS FL
32708-0029
US

V. Phone/Fax

Practice location:
  • Phone: 407-623-1415
  • Fax:
Mailing address:
  • Phone: 407-716-6443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP 3183632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: