Healthcare Provider Details

I. General information

NPI: 1255729067
Provider Name (Legal Business Name): TATIANA PIZARRO MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2014
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 NW 107TH AVE APT 1809
DORAL FL
33178-4257
US

IV. Provider business mailing address

17171 NW 94TH CT APT 104
HIALEAH FL
33018-4349
US

V. Phone/Fax

Practice location:
  • Phone: 305-994-4505
  • Fax:
Mailing address:
  • Phone: 305-994-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046805
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: