Provider Demographics
NPI:1972189280
Name:ITAMAN, HONORATA ANNA (FNP C)
Entity Type:Individual
Prefix:
First Name:HONORATA
Middle Name:ANNA
Last Name:ITAMAN
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 1:7601 DEBEAUBIEN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8127
Mailing Address - Country:US
Mailing Address - Phone:832-755-1668
Mailing Address - Fax:
Practice Address - Street 1:7601 DEBEAUBIEN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8127
Practice Address - Country:US
Practice Address - Phone:832-755-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-18
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9525238163WH0200X
FLAPRN11005259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health