Healthcare Provider Details

I. General information

NPI: 1396447173
Provider Name (Legal Business Name): RACHEL ALONSO FERRER PMHNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

589 SE 35TH TER
HOMESTEAD FL
33033-7504
US

IV. Provider business mailing address

589 SE 35TH TER
HOMESTEAD FL
33033-7504
US

V. Phone/Fax

Practice location:
  • Phone: 754-707-1110
  • Fax:
Mailing address:
  • Phone: 754-707-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11029229
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11029229
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9561197
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: