Healthcare Provider Details

I. General information

NPI: 1811033129
Provider Name (Legal Business Name): PATRICIA BURNSED NOLAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA BURNSED NOLEN ARNP

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 W CENTRAL BLVD
ORLANDO FL
32805-1809
US

IV. Provider business mailing address

832 W CENTRAL BLVD
ORLANDO FL
32805-1809
US

V. Phone/Fax

Practice location:
  • Phone: 407-275-7976
  • Fax:
Mailing address:
  • Phone: 407-275-7976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN450482
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: