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General NPI Number Information
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NPI Number | 1841082575
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Entity Type | Individual
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Provider Name | ARIENNA WREN CANONICO APRN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 909 N NARCOOSSEE RD
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8784
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Country | US
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Telephone | 407-556-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 178 RIVERWOODS DR
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City | CHULUOTA
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State | FL
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Zip | 32766-9203
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Country | US
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Telephone | 407-236-6520
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 9470965
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11039969
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License Number State | FL
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