Healthcare Provider Details

I. General information

NPI: 1225759749
Provider Name (Legal Business Name): ALIANNE MARIA LIENS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 04/20/2024
Certification Date: 04/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 SW 160TH AVE
MIAMI FL
33185-5085
US

IV. Provider business mailing address

5205 SW 160TH AVE
MIAMI FL
33185-5085
US

V. Phone/Fax

Practice location:
  • Phone: 305-318-3909
  • Fax:
Mailing address:
  • Phone: 305-318-3909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11021279
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11021279
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: