Healthcare Provider Details

I. General information

NPI: 1699043174
Provider Name (Legal Business Name): NATASHA VICTORIA BEGON ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

871 VENETIA BAY BLVD
VENICE FL
34285-8047
US

IV. Provider business mailing address

871 VENETIA BAY BLVD
VENICE FL
34285-8047
US

V. Phone/Fax

Practice location:
  • Phone: 763-321-3081
  • Fax: 866-988-2458
Mailing address:
  • Phone: 763-321-3081
  • Fax: 866-988-2458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3-002692
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9462561
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF305909-1
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberGAA-NP004688
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number31603
License Number StateSC
# 6
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number908018
License Number StateMS
# 7
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5023513
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: