Healthcare Provider Details

I. General information

NPI: 1265201610
Provider Name (Legal Business Name): ARLENE NIURKA ARRECHEA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 12/27/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E 2ND ST UNIT 102
HIALEAH FL
33010-4992
US

IV. Provider business mailing address

301 E 2ND ST UNIT 102
HIALEAH FL
33010-4992
US

V. Phone/Fax

Practice location:
  • Phone: 786-424-8508
  • Fax:
Mailing address:
  • Phone: 786-424-8508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11030352
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: