Provider Demographics
NPI:1033663760
Name:SEIDU, NATACHA (ARNP)
Entity Type:Individual
Prefix:
First Name:NATACHA
Middle Name:
Last Name:SEIDU
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4613 S ORANGE BLOSSOM TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-1705
Mailing Address - Country:US
Mailing Address - Phone:407-232-9833
Mailing Address - Fax:407-232-9829
Practice Address - Street 1:4613 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-1705
Practice Address - Country:US
Practice Address - Phone:407-232-9833
Practice Address - Fax:407-232-9829
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-10
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9259285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily