Provider Demographics
NPI:1013289552
Name:NAZWORTH, EMILY M (CRNA)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:NAZWORTH
Suffix:
Gender:F
Credentials:CRNA
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Mailing Address - Street 1:3628 SW 22ND ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-4246
Mailing Address - Country:US
Mailing Address - Phone:954-292-9280
Mailing Address - Fax:
Practice Address - Street 1:7111 FAIRWAY DRIVE, SUITE 450
Practice Address - Street 2:PALMETTO ANESTHESIA SPECIALISTS, LLC
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418
Practice Address - Country:US
Practice Address - Phone:561-799-3552
Practice Address - Fax:561-799-3527
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2012-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9219270367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered