Provider Demographics
NPI:1023319845
Name:RAVNDAL, DARCY VETRO (MSN, MPH, ARNP)
Entity type:Individual
Prefix:MS
First Name:DARCY
Middle Name:VETRO
Last Name:RAVNDAL
Suffix:
Gender:F
Credentials:MSN, MPH, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 STETSON ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5831
Mailing Address - Country:US
Mailing Address - Phone:813-760-7410
Mailing Address - Fax:
Practice Address - Street 1:3100 EDGEWATER DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-3722
Practice Address - Country:US
Practice Address - Phone:407-835-4900
Practice Address - Fax:407-245-2758
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9296513363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care