Provider Demographics
NPI:1497251003
Name:DAPREMONT, LADONNA (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LADONNA
Middle Name:
Last Name:DAPREMONT
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 1:904 N 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-3820
Mailing Address - Country:US
Mailing Address - Phone:850-434-0077
Mailing Address - Fax:850-434-0220
Practice Address - Street 1:15 W MAXWELL ST
Practice Address - Street 2:STE 148
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501
Practice Address - Country:US
Practice Address - Phone:850-434-0077
Practice Address - Fax:850-434-0220
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9251455363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024901400Medicaid
14259627OtherCAQH