Individual
NATALIE COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 325-5511
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9364042
FL
367500000X
Certified Registered Nurse Anesthetist
11005997
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005997
FL
Other
Enumeration date
11/04/2019
Last updated
02/17/2020
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