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NPI Code Detail

MEDICARE: NATALYA LAIRD ARNP

MEDICARE: NATALYA LAIRD ARNP
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
1364SA2200XAdult Health Clinical Nurse SpecialistARNP9339303FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11174512701OTHERFLGROUP NPI

General Provider Information

NPI Number : 1982152476
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALYA LAIRD ARNP
Provider Business Mailing Address
First Line : 12839 LONGVIEW DR W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-8605
Country : US
Telephone Number : 386-868-9060
Fax Number :
Provider Business Practice Location Address
First Line : 10058 BAYMEADOWS RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7177
Country : US
Telephone Number : 904-636-5400
Fax Number : 904-928-0654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2016
Last Update Date : 09/14/2016

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