Provider Demographics
NPI:1215272638
Name:UGUET, NATACHA (ARNP,NP-C)
Entity type:Individual
Prefix:
First Name:NATACHA
Middle Name:
Last Name:UGUET
Suffix:
Gender:F
Credentials:ARNP,NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13169 SW 11TH LANE CIR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2056
Mailing Address - Country:US
Mailing Address - Phone:305-606-7863
Mailing Address - Fax:
Practice Address - Street 1:7400 SW 87TH AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5458
Practice Address - Country:US
Practice Address - Phone:305-270-6010
Practice Address - Fax:305-598-7754
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9296275363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily