Fenelon, Natasha L

Fenelon, Natasha L is an sole proprietor health care provider with primary practice located at 684 State Road 60 W , Lake Wales FL 33853-4419. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fenelon, Natasha L can be contacted via phone (863) 949-4868.

Contact Information

Primary practice address
684 State Road 60 W Lake Wales FL 33853-4419
Phone: (863) 949-4868
Fax: (863) 223-8549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11008419 Florida

Profile Details

NPI number 1003426883
LBN Legal business name Fenelon, Natasha L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2020
Last updated Mar 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers