Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9248552 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | ARNP 9248552 | FL |
NPI | 1033642210 |
---|---|
Provider Name | Dironada Gross Strange |
First Address | Gainesville, FL 32610-0001 |
Second Address | Gainesville, FL 32610-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2017 |
Last Update Date | 08/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020537700 | (05) | FL |
IY617Z | MEDICARE (01) | FL |