Provider Demographics
NPI:1336614114
Name:HURVITZ, NAOKO (APRN)
Entity Type:Individual
Prefix:
First Name:NAOKO
Middle Name:
Last Name:HURVITZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NAOKO
Other - Middle Name:
Other - Last Name:YONAMINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1938 SOULE RD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-1507
Mailing Address - Country:US
Mailing Address - Phone:727-726-7442
Mailing Address - Fax:727-288-1111
Practice Address - Street 1:1938 SOULE RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-1507
Practice Address - Country:US
Practice Address - Phone:727-726-7442
Practice Address - Fax:727-288-1111
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11000109363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health