Provider Demographics
NPI:1972958809
Name:ARTIS, AYANNA S (ARNP)
Entity Type:Individual
Prefix:
First Name:AYANNA
Middle Name:S
Last Name:ARTIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:AYANNA
Other - Middle Name:S
Other - Last Name:ARTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1317 EDGEWATER DR # 4944
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6350
Mailing Address - Country:US
Mailing Address - Phone:407-712-6713
Mailing Address - Fax:407-712-6713
Practice Address - Street 1:1317 EDGEWATER DR # 4944
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6350
Practice Address - Country:US
Practice Address - Phone:407-712-6713
Practice Address - Fax:407-712-6713
Is Sole Proprietor?:No
Enumeration Date:2016-04-28
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9267319363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology