Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 9164697 | FL |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | APRN9164697 | FL |
NPI | 1043438385 |
---|---|
Provider Name | Janice Darden Krivan |
First Address | Plantation, FL 33324-3923 |
Second Address | Altamonte Springs, FL 32701-7857 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001814400 | (05) | FL |