Healthcare Provider Details

I. General information

NPI: 1417188269
Provider Name (Legal Business Name): AVE MARIA ARMSTRONG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 RED BUG LAKE RD STE 2048
OVIEDO FL
32765-6591
US

IV. Provider business mailing address

7560 RED BUG LAKE RD STE 2048
OVIEDO FL
32765-6591
US

V. Phone/Fax

Practice location:
  • Phone: 407-366-8856
  • Fax:
Mailing address:
  • Phone: 407-366-8856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License NumberARNP 1359792
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP1359792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: