Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP 3174732 | FL |
N | 363LN0000X | Nurse Practitioner - Neonatal | 3174732 | FL |
Y | 363LN0000X | Nurse Practitioner - Neonatal | ARNP3174732 | FL |
NPI | 1154499507 |
---|---|
Provider Name | Julie Ann Dodarell |
First Address | Orlando, FL 32827-7884 |
Second Address | Orlando, FL 32827-7884 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP 3174732 | LICENSE (01) | FL |