NPI 1780960989 · live from the CMS NPI Registry
Mattilie Gednas, ARNP
Nurse Practitioner in Orlando, FL. National Provider Identifier 1780960989, active.
NPI record
| NPI | 1780960989 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 13535 Nemours Pkwy, Orlando, FL 32827 |
| Practice phone | 407-273-4132 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | November 1, 2011 |
| Last updated | April 5, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 9223587 (FL) |
| Nurse Practitioner primary | 363L00000X | APRN9223587 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.