Provider Demographics
NPI:1881458438
Name:PLAZA, NATHASCHA (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:NATHASCHA
Middle Name:
Last Name:PLAZA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20355 NE 34TH CT APT 721
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3312
Mailing Address - Country:US
Mailing Address - Phone:954-880-4415
Mailing Address - Fax:
Practice Address - Street 1:3500 POWERLINE RD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5917
Practice Address - Country:US
Practice Address - Phone:954-318-5595
Practice Address - Fax:954-318-5595
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9613259163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse