Provider Demographics
NPI:1043869837
Name:AZAMBUJA, DANUSIA BARBARA
Entity Type:Individual
Prefix:
First Name:DANUSIA
Middle Name:BARBARA
Last Name:AZAMBUJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:AZAMBUJA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:7848 FICQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6904
Mailing Address - Country:US
Mailing Address - Phone:912-580-9501
Mailing Address - Fax:
Practice Address - Street 1:933 BROWN CHAPEL RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-2043
Practice Address - Country:US
Practice Address - Phone:407-593-2883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily