Provider Demographics
NPI:1932423290
Name:NERESTANT, NADIA (HHA)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:NERESTANT
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4411 NW 33RD ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5726
Mailing Address - Country:US
Mailing Address - Phone:954-822-0085
Mailing Address - Fax:
Practice Address - Street 1:4411 NW 33RD ST
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5726
Practice Address - Country:US
Practice Address - Phone:954-822-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide