Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9217816 | FL |
NPI | 1003149519 |
---|---|
Provider Name | Miss Whitnie Saron Padron |
First Address | Tampa, FL 33607-6451 |
Second Address | Saint Petersburg, FL 33708-3378 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2009 |
Last Update Date | 10/07/2019 |