Provider Demographics
NPI:1982230033
Name:CONDE-NADEAU, DARLENE (APRN)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:CONDE-NADEAU
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 1:5090 CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-7753
Mailing Address - Country:US
Mailing Address - Phone:352-848-3735
Mailing Address - Fax:
Practice Address - Street 1:37733 MERIDIAN AVE
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-3756
Practice Address - Country:US
Practice Address - Phone:352-206-8793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9193713163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice