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NATASHA ANDERSON

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1154866820

Individual Registrant:
 NATASHA  ANDERSON 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
731 N CLYDE MORRIS BLVD  DAYTONA BEACH, FL 32114-1603 US
Tel: 386-257-1626  Fax: 866-899-3686

Contact information for business:
6101 BLUE LAGOON DR STE 400  MIAMI, FL 33126-2051 US
Tel: 305-500-2000  Fax: --

Registration Information:
NPI: 1154866820
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLAPRN9308547

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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