Individual provider · NPI-1

Catherine Evangelista Aguaviva, APRN

Nurse Practitioner, Family · Gainesville, FL

NPI number1417675562
StatusActive
Last updated in NPPESNov 7, 2024

Details

NPI
1417675562
Entity type
Individual (NPI-1)
Name
Catherine Evangelista Aguaviva
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 15, 2022
Certification date
Nov 7, 2024
Last updated
Nov 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family11020108FLYes

Practice location

1601 Sw Archer Rd
Gainesville, FL 32608-1135

Phone 352-376-1611

Mailing address

1601 Sw Archer Rd
Gainesville, FL 32608-1135

Phone 210-748-5443

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