Provider Demographics
NPI:1326871468
Name:FERRETTI, CLAUDIA
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:FERRETTI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:GOMEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:1680 CANOE CREEK RD FL 32766
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32766-8528
Mailing Address - Country:US
Mailing Address - Phone:407-730-0837
Mailing Address - Fax:
Practice Address - Street 1:1680 CANOE CREEK RD FL 32766
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32766-8528
Practice Address - Country:US
Practice Address - Phone:407-730-0837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11032694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily