Provider Demographics
NPI:1558500827
Name:BEARDEN-CAUDLE, FRANKIE RENEE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:FRANKIE
Middle Name:RENEE
Last Name:BEARDEN-CAUDLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13454 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-6601
Mailing Address - Country:US
Mailing Address - Phone:407-240-3191
Mailing Address - Fax:407-240-3419
Practice Address - Street 1:13454 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6601
Practice Address - Country:US
Practice Address - Phone:407-240-3191
Practice Address - Fax:407-240-3419
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3282802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily