Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP1902052 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP1902052 | FL |
NPI | 1306156708 |
---|---|
Provider Name | Tonya Christine Webber |
First Address | Orlando, FL 32806-2008 |
Second Address | Orlando, FL 32806-2008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2010 |
Last Update Date | 15/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003421500 | (05) | FL |
ARNP1902052 | MEDICAL LICENSE (01) | FL |