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NPI Code Detail

MEDICARE: MRS. WILNARD DASTINE ARNP

MEDICARE:  MRS. WILNARD  DASTINE  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP9202306FL
2363LF0000XFamily Nurse PractitionerF9202306FL

General Provider Information

NPI Number : 1427580869
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WILNARD DASTINE ARNP
Provider Business Mailing Address
First Line : 6735 CONROY RD STE 418
Second Line :
City : ORLANDO
State : FL
Zip : 32835-3566
Country : US
Telephone Number : 407-420-7374
Fax Number : 407-271-8411
Provider Business Practice Location Address
First Line : 6735 CONROY RD STE 418
Second Line :
City : ORLANDO
State : FL
Zip : 32835-3566
Country : US
Telephone Number : 407-420-7374
Fax Number : 407-271-8411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 12/01/2020

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Directions to “ MRS. WILNARD DASTINE ARNP” Practice Location

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