Doctor Name: | KATARINA NAMMOUR |
NPI Number: | 1033515747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, ARNP |
License Number: | 9326863 |
Business Practice Address: | 500 Winderley Pl #115 Maitland, FL - 327517247 |
Business Phone Number: | 4078750555 |
Business Fax Number: | |
Mailing Address: | 2 S Osceola Ave, ORLANDO |
State: | FL |
Postal Code: | 328012846 |
Phone Number: | 4074056502 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 11/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 9326863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |