Individual
AMBER NICOLE HASEGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
1937 HOFFNER AVE, BELLE ISLE, FL 32809-3527
(407) 536-3327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11035680
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11035680
FL
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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