Provider Demographics
NPI:1285874693
Name:DOBRAYA, NADIA V (FNP)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:V
Last Name:DOBRAYA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2298 GROVE VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-3225
Mailing Address - Country:US
Mailing Address - Phone:971-386-6009
Mailing Address - Fax:
Practice Address - Street 1:2298 GROVE VALLEY AVE
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-3225
Practice Address - Country:US
Practice Address - Phone:971-386-6009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200750033NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner