Provider Demographics
NPI:1649692898
Name:HAY, ANGELICA VIOLETTA (APRN)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:VIOLETTA
Last Name:HAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANGELICA
Other - Middle Name:VIOLETTA
Other - Last Name:ZATORSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8839 BRYAN DAIRY RD STE 235
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1207
Mailing Address - Country:US
Mailing Address - Phone:727-495-6085
Mailing Address - Fax:727-873-6325
Practice Address - Street 1:8839 BRYAN DAIRY RD STE 235
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33777-1207
Practice Address - Country:US
Practice Address - Phone:727-495-6085
Practice Address - Fax:727-873-6325
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9453916363LA2200X
CT005563363LA2200X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care