Provider Demographics
NPI:1326329848
Name:SCHROETTINGER, DIANE ELAINE (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:ELAINE
Last Name:SCHROETTINGER
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 N ORLANDO AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2921
Mailing Address - Country:US
Mailing Address - Phone:407-647-1862
Mailing Address - Fax:
Practice Address - Street 1:839 N ORLANDO AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2921
Practice Address - Country:US
Practice Address - Phone:407-647-1862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1586592363LF0000X
FL1586592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily