Provider Demographics
NPI:1932673977
Name:ZANFARDINO, MYRNA LUZ (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:LUZ
Last Name:ZANFARDINO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 S ROSALIND AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-6224
Mailing Address - Country:US
Mailing Address - Phone:407-963-2527
Mailing Address - Fax:
Practice Address - Street 1:3607 S ROSALIND AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6224
Practice Address - Country:US
Practice Address - Phone:407-963-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-13
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily