Healthcare Provider Details

I. General information

NPI: 1043285422
Provider Name (Legal Business Name): DIANE E GRAUMLICH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E PRINCETON ST SUITE 200
ORLANDO FL
32804-5553
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-1444
  • Fax: 407-303-1446
Mailing address:
  • Phone: 407-303-1444
  • Fax: 407-303-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP1145362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: