Provider Demographics
NPI:1245767961
Name:SAINTILMAR, TAYANA (APRN)
Entity type:Individual
Prefix:
First Name:TAYANA
Middle Name:
Last Name:SAINTILMAR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 45TH ST STE B4
Mailing Address - Street 2:
Mailing Address - City:MANGONIA PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2162
Mailing Address - Country:US
Mailing Address - Phone:954-250-0000
Mailing Address - Fax:561-842-3612
Practice Address - Street 1:1233 45TH ST STE B4
Practice Address - Street 2:
Practice Address - City:MANGONIA PARK
Practice Address - State:FL
Practice Address - Zip Code:33407-2162
Practice Address - Country:US
Practice Address - Phone:954-250-0000
Practice Address - Fax:561-842-3612
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9289159163W00000X, 163WC0400X, 171M00000X
FLARNP9289159363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology