Provider Demographics
NPI:1326683285
Name:CHARLES NESTOR, NEYA (PA-C)
Entity type:Individual
Prefix:
First Name:NEYA
Middle Name:
Last Name:CHARLES NESTOR
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 20800
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4105
Mailing Address - Country:US
Mailing Address - Phone:888-402-7256
Mailing Address - Fax:888-902-1099
Practice Address - Street 1:16215 S JOG RD STE 204
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2386
Practice Address - Country:US
Practice Address - Phone:561-448-3848
Practice Address - Fax:561-501-3808
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2025-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9113022363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant