Provider Demographics
NPI:1467869594
Name:ALBANESE-O'NEILL, ANASTASIA (ARNP)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:ALBANESE-O'NEILL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:LYNNE
Other - Last Name:ALBANESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2004 MOWRY RD
Mailing Address - Street 2:DIABETES RESEARCH
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-273-9297
Mailing Address - Fax:
Practice Address - Street 1:2000 SW ARCHER RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1136
Practice Address - Country:US
Practice Address - Phone:352-265-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9282887163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013936800Medicaid
FL013936800Medicaid