Healthcare Provider Details

I. General information

NPI: 1861770687
Provider Name (Legal Business Name): LUISA FERNANDA ANGEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 07/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVENUE 2ND FLOOR MIAMI CHILDREN'S HOSPITAL CARDIOLOGY DEPARTMENT
MIAMI FL
33155
US

IV. Provider business mailing address

3100 SW 62ND AVENUE 2ND FLOOR MIAMI CHILDREN'S HOSPITAL CARDIOLOGY DEPARTMENT
MIAMI FL
33155
US

V. Phone/Fax

Practice location:
  • Phone: 305-662-8301
  • Fax: 305-259-1883
Mailing address:
  • Phone: 305-662-8301
  • Fax: 305-259-1883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9190921
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: