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Individual

NATASSIA MONIQUE WALBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC, APRN, MSN

Contact information

Practice address
201 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2724
(386) 425-4787
Mailing address
27 MEADOW RIDGE VW, ORMOND BEACH, FL 32174-2405
(386) 295-3365

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11032018
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11032018
FL

Other

Enumeration date
04/04/2024
Last updated
05/01/2025
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