Individual
MS. AUDRA E PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP9457524
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9457524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022835000
—
FL
Enumeration date
10/30/2017
Last updated
10/23/2018
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