Healthcare Provider Details

I. General information

NPI: 1043028699
Provider Name (Legal Business Name): PRISCILLA M FERRER REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15441 SW 146 ST
MIAMI FL
33196
US

IV. Provider business mailing address

15441 SW 146TH ST
MIAMI FL
33196-4630
US

V. Phone/Fax

Practice location:
  • Phone: 305-338-8819
  • Fax: 305-243-3634
Mailing address:
  • Phone: 305-338-8819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number9438566
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: