Doctor Name: | MS. DARCY VETRO RAVNDAL |
NPI Number: | 1023319845 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, MPH, ARNP |
License Number: | ARNP9296513 |
Business Practice Address: | 1120 Citrus Oaks Run Winter Springs, FL - 327084800 |
Business Phone Number: | 4077166443 |
Business Fax Number: | |
Mailing Address: | 507 Stetson St, ORLANDO |
State: | FL |
Postal Code: | 328045831 |
Phone Number: | 8137607410 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2010 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | ARNP9296513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |