Provider Demographics
NPI:1316594112
Name:NOBOA, KATRINA EMILIA (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:EMILIA
Last Name:NOBOA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:250 N ALAFAYA TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4316
Mailing Address - Country:US
Mailing Address - Phone:407-282-4400
Mailing Address - Fax:407-282-4191
Practice Address - Street 1:250 N ALAFAYA TRL STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4316
Practice Address - Country:US
Practice Address - Phone:407-282-4400
Practice Address - Fax:407-282-4191
Is Sole Proprietor?:No
Enumeration Date:2019-08-26
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002849363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily