Provider Demographics
NPI: | 1033343249 |
---|---|
Name: | DARR, BRITTANY A (ARNP) |
Entity Type: | Individual |
Prefix: | |
First Name: | BRITTANY |
Middle Name: | A |
Last Name: | DARR |
Suffix: | |
Gender: | F |
Credentials: | ARNP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2501 N ORANGE AVE STE 689 |
Mailing Address - Street 2: | |
Mailing Address - City: | ORLANDO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32804-4648 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-303-2024 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2501 N ORANGE AVE STE 689 |
Practice Address - Street 2: | |
Practice Address - City: | ORLANDO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32804-4648 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-303-2024 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2009-05-04 |
Last Update Date: | 2023-01-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | ARNP9232318 | 363L00000X |
FL | APRN9232318 | 363LA2200X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 001225800 | Medicaid | |
FL | 001225800 | Medicaid |