MEDICARE: CATALINA ARAGON APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9369009	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11022569	FL

General Provider Information

NPI Number	:	1225706880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATALINA ARAGON APRN

Provider Business Mailing Address
First Line	:	PO BOX 938535
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33093-8535
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 W HILLSBORO BLVD STE 206
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-9476
Country	:	US
Telephone Number	:	561-794-3014
Fax Number	:	561-461-6255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	06/03/2024

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