Provider Demographics
NPI:1932950284
Name:GURUNATHAN, ESHWARI (APRN)
Entity type:Individual
Prefix:
First Name:ESHWARI
Middle Name:
Last Name:GURUNATHAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4314 BRADBURY CT
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1988
Mailing Address - Country:US
Mailing Address - Phone:952-380-6100
Mailing Address - Fax:
Practice Address - Street 1:4314 BRADBURY CT
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-1988
Practice Address - Country:US
Practice Address - Phone:952-380-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily