Healthcare Provider Details

I. General information

NPI: 1780351197
Provider Name (Legal Business Name): NATHACHA E PIERRE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1463 OAKFIELD DR STE 132
BRANDON FL
33511-0802
US

IV. Provider business mailing address

1463 OAKFIELD DR STE 132
BRANDON FL
33511-0802
US

V. Phone/Fax

Practice location:
  • Phone: 813-330-5446
  • Fax: 813-736-8904
Mailing address:
  • Phone:
  • Fax: 813-736-8904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11013770
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: