Provider Demographics
NPI:1265186324
Name:NECULAES, TATSIANA (CRNA)
Entity type:Individual
Prefix:
First Name:TATSIANA
Middle Name:
Last Name:NECULAES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:TATSIANA
Other - Middle Name:
Other - Last Name:SINIAKOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:6490 18TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-7242
Mailing Address - Country:US
Mailing Address - Phone:786-247-9175
Mailing Address - Fax:
Practice Address - Street 1:1700 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3509
Practice Address - Country:US
Practice Address - Phone:941-917-6812
Practice Address - Fax:941-917-6685
Is Sole Proprietor?:No
Enumeration Date:2022-02-08
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189103367500000X
FLCRNA9294348367500000X
FLAPRN11019595367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered