Healthcare Provider Details

I. General information

NPI: 1164873774
Provider Name (Legal Business Name): ANA NORIEGA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4603 N UNIVERSITY DR
LAUDERHILL FL
33351-5741
US

IV. Provider business mailing address

438 NW 113TH TER
CORAL SPRINGS FL
33071-7975
US

V. Phone/Fax

Practice location:
  • Phone: 954-368-6604
  • Fax: 954-368-6454
Mailing address:
  • Phone: 754-246-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9253455
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: