Healthcare Provider Details

I. General information

NPI: 1023300365
Provider Name (Legal Business Name): FIORELLA ROSINA FINETTI CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NW 12TH AVE
MIAMI FL
33136-1003
US

IV. Provider business mailing address

14924 SW 104TH ST APT 31
MIAMI FL
33196-3377
US

V. Phone/Fax

Practice location:
  • Phone: 305-689-5841
  • Fax:
Mailing address:
  • Phone: 786-547-2812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3357552
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: