Healthcare Provider Details

I. General information

NPI: 1649056474
Provider Name (Legal Business Name): NEST NURSING AND LACTATION SERVICES,P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 S ORANGE BLOSSOM TRL # 734
ORLANDO FL
32839-1704
US

IV. Provider business mailing address

11 SILVER ST UNIT 2206
MIDDLETOWN CT
06457-7795
US

V. Phone/Fax

Practice location:
  • Phone: 888-598-1554
  • Fax: 844-364-2618
Mailing address:
  • Phone: 888-598-1554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KAITLYN ROBERTS
Title or Position: CONTROLLER
Credential:
Phone: 888-598-1554