Individual
ANASTASIA IVANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4445 ALTON RD, MIAMI BEACH, FL 33140-2852
(954) 330-9768
Mailing address
4445 ALTON RD, MIAMI BEACH, FL 33140-2852
(954) 330-9768
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11029848
FL
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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