Provider Demographics
NPI:1972139707
Name:ARONOVA, NATELLA (FNP-C)
Entity Type:Individual
Prefix:
First Name:NATELLA
Middle Name:
Last Name:ARONOVA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10212 65TH AVE APT D67
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1716
Mailing Address - Country:US
Mailing Address - Phone:347-282-1200
Mailing Address - Fax:
Practice Address - Street 1:42 BROADWAY STE 1900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-3864
Practice Address - Country:US
Practice Address - Phone:800-897-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily