Basic Information
| Provider Information | |||||||||
| NPI: | 1013289552 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAZWORTH | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3628 SW 22ND ST | ||||||||
| Address2: | |||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333124246 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9542929280 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7111 FAIRWAY DRIVE, SUITE 450 | ||||||||
| Address2: | PALMETTO ANESTHESIA SPECIALISTS, LLC | ||||||||
| City: | PALM BEACH GARDENS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617993552 | ||||||||
| FaxNumber: | 5617993527 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2012 | ||||||||
| LastUpdateDate: | 03/26/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | ARNP9219270 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.