Provider Demographics
NPI:1881674505
Name:OKONSKY, DIANNE MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:MARIE
Last Name:OKONSKY
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 1:3783 CASSIA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7739
Mailing Address - Country:US
Mailing Address - Phone:407-282-4554
Mailing Address - Fax:
Practice Address - Street 1:10902 DYLAN LOREN CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-7739
Practice Address - Country:US
Practice Address - Phone:407-380-7966
Practice Address - Fax:407-380-7988
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3219652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily