MEDICARE: DAWN CHIARENZA 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
1	363L00000X	Nurse Practitioner	3182642	FL

General Provider Information

NPI Number	:	1710236435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN CHIARENZA ARNP

Provider Business Mailing Address
First Line	:	1700 SE HILLMOOR DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7539
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-335-9699

Provider Business Practice Location Address
First Line	:	1700 SE HILLMOOR DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7539
Country	:	US
Telephone Number	:	772-335-9600
Fax Number	:	772-335-9699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2012
Last Update Date	:	01/25/2022

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