Provider Demographics
NPI:1760701197
Name:SANTARPIA, RACHEAL R (ARNP)
Entity Type:Individual
Prefix:
First Name:RACHEAL
Middle Name:R
Last Name:SANTARPIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 191
Mailing Address - Street 2:PROVIDER ENROLLMENT DEPARTMENT
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4945
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:3300 WEST LAKE MARY BLVD., SUITE 100
Practice Address - Street 2:NEMOURS CHILDRENS CLINIC, LAKE MARY
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4885
Practice Address - Country:US
Practice Address - Phone:407-650-7000
Practice Address - Fax:302-651-4945
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLRN9222458163WN0002X
FLARNP9222458363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL'002924400Medicaid
FLHW329ZMedicare PIN