Most Relevant Information
Provider Data
NPI Number: | 1003570029 |
Provider Name: | DARMELA SHANNON THORNTON CRNA |
Entity Type: | Individual |
Taxonomy Code: | 367500000X |
Specialty: | Nurse Anesthetist, Certified Registered |
License Number: | APRN11017647 |
Most Important Dates
Enumeration Date: | 10/26/2021 |
Last Updated: | 03/03/2022 |
Provider Practice Location
601 E ROLLINS ST
ORLANDO
FL
328031248
Practice Location Phone/Fax
Phone: | 4073035600 |
Fax: |
Provider Mailing Location
851 TRAFALGAR CT STE 200E
MAITLAND
FL
327517420
Provider Mailing Phone/Fax
Phone: | 4076670444 |
Fax: | 4076674338 |