Healthcare Provider Details

I. General information

NPI: 1447921085
Provider Name (Legal Business Name): ANDREA AMANDA NEGRINI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 09/23/2021
Certification Date: 09/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S MIAMI AVE STE 803
MIAMI FL
33133-4214
US

IV. Provider business mailing address

1460 ROBBIA AVE
CORAL GABLES FL
33146-1924
US

V. Phone/Fax

Practice location:
  • Phone: 786-600-4733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11015538
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: