Provider Demographics
NPI:1588933782
Name:OKAMURA, NATSUKO (MSN, ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:NATSUKO
Middle Name:
Last Name:OKAMURA
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:948 S WICKHAM RD STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-1647
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:321-327-5746
Practice Address - Street 1:948 S WICKHAM RD STE 101
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-1647
Practice Address - Country:US
Practice Address - Phone:321-608-4946
Practice Address - Fax:321-327-5746
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9250858363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily