Doctor Name: | MRS. HEATHER LYNN DARMETKO |
NPI Number: | 1073935409 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9193778 |
Business Practice Address: | 713 E. Marion Ave. 1211 Suite 1211 Punta Gorda, FL - 33950 |
Business Phone Number: | 9415052100 |
Business Fax Number: | 9415056100 |
Mailing Address: | 713 E. Marion Ave. Suite 1211, PUNTA GORDA |
State: | FL |
Postal Code: | 33950 |
Phone Number: | 9415052100 |
Fax Number: | 9415056100 |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9193778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |