Provider Demographics
NPI:1891273470
Name:SAWICKA, NATALIA K (CSA)
Entity Type:Individual
Prefix:MISS
First Name:NATALIA
Middle Name:K
Last Name:SAWICKA
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1518
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-1518
Mailing Address - Country:US
Mailing Address - Phone:561-635-5105
Mailing Address - Fax:
Practice Address - Street 1:1040 WANDERING WILLOW WAY
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-6081
Practice Address - Country:US
Practice Address - Phone:917-348-8433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-05
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4946OtherNATIONAL COMISSION FOR THE CERTIFICATION OF SURGICAL ASSISTANTS