Provider Demographics
NPI:1487686028
Name:NATEMAN, KATHLEEN JOY (ARNP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:JOY
Last Name:NATEMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8780 SW 92ND ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2461
Mailing Address - Country:US
Mailing Address - Phone:786-596-7992
Mailing Address - Fax:305-595-3088
Practice Address - Street 1:11805 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-4439
Practice Address - Country:US
Practice Address - Phone:786-596-7992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2098632363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner