MEDICARE: NEST NURSING AND LACTATION SERVICES,P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner

General Provider Information

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

Provider Business Mailing Address
First Line	:	2299 SUMMER ST # 1184
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06905-4502
Country	:	US
Telephone Number	:	888-598-1554
Fax Number	:

Provider Business Practice Location Address
First Line	:	4530 S ORANGE BLOSSOM TRL # 734
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-1704
Country	:	US
Telephone Number	:	888-598-1554
Fax Number	:	844-364-2618

Authorized Official
Title or Position	:	VP OF FINANCE
Name	:	KAITLYN ROBERTS
Credential	:
Telephone Number	:	888-598-1554

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	03/05/2026

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