Provider Demographics
NPI:1679294938
Name:NASOLO, FLORENCE (RN)
Entity type:Individual
Prefix:MISS
First Name:FLORENCE
Middle Name:
Last Name:NASOLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10748 PARAMOUNT BLVD # B
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3306
Mailing Address - Country:US
Mailing Address - Phone:818-987-3571
Mailing Address - Fax:
Practice Address - Street 1:10748 PARAMOUNT BLVD # B
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3306
Practice Address - Country:US
Practice Address - Phone:818-987-3571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA716425163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse