MEDICARE: URVASHI NATH

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	363L00000X	Nurse Practitioner	F02240302	FL

General Provider Information

NPI Number	:	1336990175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	URVASHI NATH

Provider Business Mailing Address
First Line	:	141 VICTORIA COMMONS BLVD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 VICTORIA COMMONS BLVD
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32724-7700
Country	:	US
Telephone Number	:	386-427-4544
Fax Number	:

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

Provider Enumeration Date	:	03/29/2024
Last Update Date	:	04/11/2024

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Directions to “ URVASHI NATH ” Practice Location

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