Provider Demographics
NPI:1255602256
Name:NAIR, PRIYA PRATAP (RN)
Entity type:Individual
Prefix:MS
First Name:PRIYA
Middle Name:PRATAP
Last Name:NAIR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:PRIYA
Other - Middle Name:JOSE
Other - Last Name:KOTTOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7321 NW 174TH TER
Mailing Address - Street 2:S-107
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-1123
Mailing Address - Country:US
Mailing Address - Phone:305-818-2327
Mailing Address - Fax:
Practice Address - Street 1:7321 NW 174TH TER
Practice Address - Street 2:S-107
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-1123
Practice Address - Country:US
Practice Address - Phone:305-818-2327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9219937367500000X
FLAPRN9219937367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered