Provider Demographics
NPI:1851484364
Name:BERGER, DARLENE K (ARNP, RN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:K
Last Name:BERGER
Suffix:
Gender:F
Credentials:ARNP, RN
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:K
Other - Last Name:BEATY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1442 TRAILHEAD PT
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-0029
Mailing Address - Country:US
Mailing Address - Phone:407-716-6443
Mailing Address - Fax:
Practice Address - Street 1:2900 UPPER PARK RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6100
Practice Address - Country:US
Practice Address - Phone:407-623-1415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3183632363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304853500Medicaid