Healthcare Provider Details

I. General information

NPI: 1801109996
Provider Name (Legal Business Name): CLARA G DUARTE RN-BSN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2010
Last Update Date: 10/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15850 SW 141ST CT
MIAMI FL
33177-1092
US

IV. Provider business mailing address

15850 SW 141ST CT
MIAMI FL
33177-1092
US

V. Phone/Fax

Practice location:
  • Phone: 786-444-6371
  • Fax:
Mailing address:
  • Phone: 786-444-6371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9265446
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: