Provider Demographics
NPI:1669108783
Name:ROSARIO, NATALIE ELBA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ELBA
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 N OLA AVE UNIT 510
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-2023
Mailing Address - Country:US
Mailing Address - Phone:813-446-8030
Mailing Address - Fax:
Practice Address - Street 1:3202 W KENNEDY BLVD STE 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3245
Practice Address - Country:US
Practice Address - Phone:813-281-0500
Practice Address - Fax:813-348-6361
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019282363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily