Healthcare Provider Details

I. General information

NPI: 1467869594
Provider Name (Legal Business Name): ANASTASIA ALBANESE-O'NEILL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANASTASIA LYNNE ALBANESE

II. Dates (important events)

Enumeration Date: 07/21/2014
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SW ARCHER RD SECOND FLOOR
GAINESVILLE FL
32608-1136
US

IV. Provider business mailing address

2004 MOWRY RD DIABETES RESEARCH
GAINESVILLE FL
32610-0296
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-7337
  • Fax:
Mailing address:
  • Phone: 352-273-9297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License NumberARNP 9282887
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: