Provider Demographics
NPI:1194313981
Name:NEGRON, NAOMI JESMIL (RN)
Entity type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:JESMIL
Last Name:NEGRON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 CONTRAVEST LN APT 522
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6338
Mailing Address - Country:US
Mailing Address - Phone:801-560-8235
Mailing Address - Fax:
Practice Address - Street 1:522 CONTRAVEST LN APT 522
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6338
Practice Address - Country:US
Practice Address - Phone:801-560-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9449097163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse