Provider Demographics
NPI:1417188269
Name:ARMSTRONG, AVE MARIA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:AVE
Middle Name:MARIA
Last Name:ARMSTRONG
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 1:7560 RED BUG LAKE RD STE 2048
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6591
Mailing Address - Country:US
Mailing Address - Phone:407-366-8856
Mailing Address - Fax:
Practice Address - Street 1:7560 RED BUG LAKE RD STE 2048
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6591
Practice Address - Country:US
Practice Address - Phone:407-366-8856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1359792163WW0000X
FLARNP1359792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY00WBOtherBCBS
FL002419000Medicaid
FL$$$$$$$$$OtherCHAMPUS/TRICARE
FLDG990ZMedicare PIN
FLY00WBOtherBCBS