Healthcare Provider Details

I. General information

NPI: 1497576508
Provider Name (Legal Business Name): LAUREN ALEXA NORONA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD
MIAMI BEACH FL
33140-2948
US

IV. Provider business mailing address

9501 SW 82ND AVE
MIAMI FL
33156-7417
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2387
  • Fax:
Mailing address:
  • Phone: 305-781-0781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN9518194
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11036928
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: