Provider Demographics
NPI:1235697624
Name:NAIR, ANUPAMA (NP)
Entity Type:Individual
Prefix:
First Name:ANUPAMA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4394 LAKE LUCERNE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-7882
Mailing Address - Country:US
Mailing Address - Phone:561-541-4551
Mailing Address - Fax:
Practice Address - Street 1:4394 LAKE LUCERNE CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-7882
Practice Address - Country:US
Practice Address - Phone:561-541-4551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000531363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology