Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9179057 | FL |
NPI | 1003230640 |
---|---|
Provider Name | Deborah Vega Darnell |
First Address | Deland, FL 32720-3134 |
Second Address | Deland, FL 32720-3134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2014 |
Last Update Date | 06/04/2019 |