Individual
MRS. NATACHA M NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 S ALAFAYA TRL, ORLANDO, FL 32828-8984
(407) 456-4688
Mailing address
2345 UPLAND LN, APOPKA, FL 32712-6507
(407) 456-4688
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11019930
FL
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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