Healthcare Provider Details

I. General information

NPI: 1346951043
Provider Name (Legal Business Name): YAZANDRA ANN PARRIMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST STE 125
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

COLLEGE OF NURSING 12201 RESEARCH PKWAY SUITE 300
ORLANDO FL
32826
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-5815
  • Fax: 407-303-0640
Mailing address:
  • Phone: 407-823-2744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11030482
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: