Doctor Name: | DANIELLE NASTAS |
NPI Number: | 1013293489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9106258 |
Business Practice Address: | 2950 Cleveland Clinic Blvd Weston, FL - 333313609 |
Business Phone Number: | 9546595000 |
Business Fax Number: | |
Mailing Address: | 3001 W Rolling Hills Cir Apt 502, DAVIE |
State: | FL |
Postal Code: | 333281917 |
Phone Number: | 6164605796 |
Fax Number: | |
NPI Enumeration Date: | 10/28/2011 |
NPI Last Update Date: | 10/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA9106258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |