Healthcare Provider Details

I. General information

NPI: 1316933534
Provider Name (Legal Business Name): DEBORAH NOLAN NESTOR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH NOLAN NESTOR APRN

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 104TH AVE STE 1
TREASURE ISLAND FL
33706-4846
US

IV. Provider business mailing address

200 104TH AVE STE 1
TREASURE ISLAND FL
33706-4846
US

V. Phone/Fax

Practice location:
  • Phone: 727-256-9489
  • Fax: 727-353-4006
Mailing address:
  • Phone: 727-256-9489
  • Fax: 727-353-4006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP1803802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: