Provider Demographics
NPI:1649056474
Name:NEST NURSING AND LACTATION SERVICES,P.A
Entity type:Organization
Organization Name:NEST NURSING AND LACTATION SERVICES,P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-598-1554
Mailing Address - Street 1:11 SILVER ST UNIT 2206
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-7795
Mailing Address - Country:US
Mailing Address - Phone:888-598-1554
Mailing Address - Fax:
Practice Address - Street 1:4530 S ORANGE BLOSSOM TRL # 734
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-1704
Practice Address - Country:US
Practice Address - Phone:888-598-1554
Practice Address - Fax:844-364-2618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty