Audette, Misty Dawn

Audette, Misty Dawn is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Audette, Misty Dawn can be contacted via phone (352) 265-0077.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 265-0077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN9246192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP9246192 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 27809 Tennessee

Profile Details

NPI number 1043631245
LBN Legal business name Audette, Misty Dawn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2013
Last updated Feb 1st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043631245 NPPES
Florida MEDICAID 010663000

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