Healthcare Provider Details

I. General information

NPI: 1609292747
Provider Name (Legal Business Name): DONNA LE HEDBERG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2014
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 LONGWOOD AVE
ROCKLEDGE FL
32955-2827
US

IV. Provider business mailing address

119 LONGWOOD AVE
ROCKLEDGE FL
32955-2827
US

V. Phone/Fax

Practice location:
  • Phone: 321-632-6963
  • Fax: 321-632-6983
Mailing address:
  • Phone: 321-632-6963
  • Fax: 321-632-6983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP2971002
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN2971002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: