Isaza, Natasha
Isaza, Natasha is an sole proprietor health care provider with primary practice located at 4972 Town Center Pkwy Ste 301 , Jacksonville FL 32246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Isaza, Natasha can be contacted via phone (904) 642-6100.Contact Information
Primary practice address
4972 Town Center Pkwy Ste 301
Jacksonville FL 32246
Phone: (904) 642-6100
Fax: (904) 642-5154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN9345223 | Florida |
Profile Details
| NPI number | 1386185148 |
|---|---|
| LBN Legal business name | Isaza, Natasha |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2017 |
| Last updated | Oct 29th, 2018 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386185148 | NPPES |
| Florida | MEDICAID | 100446200 |
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