1316933534 NPI number — MRS. DEBORAH NOLAN NESTOR ARNP

Table of content: MRS. DEBORAH NOLAN NESTOR ARNP (NPI 1316933534)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316933534 NPI number — MRS. DEBORAH NOLAN NESTOR ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NESTOR
Provider First Name:
DEBORAH
Provider Middle Name:
NOLAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NESTOR
Provider Other First Name:
DEBORAH
Provider Other Middle Name:
NOLAN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1316933534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 104TH AVE STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TREASURE ISLAND
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33706-4846
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-256-9489
Provider Business Mailing Address Fax Number:
727-353-4006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 104TH AVE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TREASURE ISLAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33706-4846
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-256-9489
Provider Business Practice Location Address Fax Number:
727-353-4006
Provider Enumeration Date:
09/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  ARNP1803802 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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