Healthcare Provider Details

I. General information

NPI: 1851641195
Provider Name (Legal Business Name): ARNP PRACTICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2012
Last Update Date: 09/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 W 49TH PL SUITE 402
HIALEAH FL
33012-3197
US

IV. Provider business mailing address

6641 LAKE BLUE DR
MIAMI LAKES FL
33014-3005
US

V. Phone/Fax

Practice location:
  • Phone: 305-450-8846
  • Fax: 305-822-4484
Mailing address:
  • Phone: 305-450-8846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberARNP9172026
License Number StateFL

VIII. Authorized Official

Name: ARIADNA FERNANDEZ
Title or Position: OWNER
Credential: ARNP
Phone: 305-450-8846