Provider Demographics
NPI:1891856258
Name:NARDONTONIA, TERESA A (MSN,ARNP)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:A
Last Name:NARDONTONIA
Suffix:
Gender:F
Credentials:MSN,ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6233 MCKINLEY TER
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-2707
Mailing Address - Country:US
Mailing Address - Phone:941-475-8002
Mailing Address - Fax:
Practice Address - Street 1:6868 SAN CASA DR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-7910
Practice Address - Country:US
Practice Address - Phone:941-474-3240
Practice Address - Fax:941-475-9900
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9215119363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology