Healthcare Provider Details

I. General information

NPI: 1679017719
Provider Name (Legal Business Name): ARIANNA FERNANDEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13001 N KENDALL DR
MIAMI FL
33186-1708
US

IV. Provider business mailing address

9260 SW 44TH ST
MIAMI FL
33165-5802
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3800
  • Fax:
Mailing address:
  • Phone: 305-803-2913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9288253
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: