Individual
NASTASSIA AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3340 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 589-6005
Mailing address
3340 WATERMAN WAY, TAVARES, FL 32778-5250
(352) 589-6005
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
APRN11026744
FL
367A00000X
Advanced Practice Midwife
Primary
APRN11026744
FL
Other
Enumeration date
07/18/2023
Last updated
02/25/2025
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