Provider Demographics
NPI:1235851015
Name:BOQUIN, NATALIA ANDREA (FNP-C)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:ANDREA
Last Name:BOQUIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2599 SHEILA DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4819
Mailing Address - Country:US
Mailing Address - Phone:305-527-1596
Mailing Address - Fax:
Practice Address - Street 1:2264 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3680
Practice Address - Country:US
Practice Address - Phone:352-642-8258
Practice Address - Fax:352-558-9854
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031230363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner