Provider Demographics
NPI:1154818276
Name:NAAR, NATASHA ANNMARIE (RN,BSN)
Entity Type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:ANNMARIE
Last Name:NAAR
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 HERKIMER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-3337
Mailing Address - Country:US
Mailing Address - Phone:954-213-4721
Mailing Address - Fax:
Practice Address - Street 1:12802 7TH AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE POINT
Practice Address - State:NY
Practice Address - Zip Code:11356-1218
Practice Address - Country:US
Practice Address - Phone:718-353-3150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-14
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY677209163WS0200X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine