Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP2940562 | FL |
NPI | 1003063538 |
---|---|
Provider Name | Donna Marie Disanti |
First Address | Zephyrhills, FL 33541-1316 |
Second Address | Plant City, FL 33563-3036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2008 |
Last Update Date | 15/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP2940562 | STATE LIC. (01) | FL |