Healthcare Provider Details

I. General information

NPI: 1134054026
Provider Name (Legal Business Name): YUDISLEIDY HERRERA MSN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2908 SW 67TH TER
MIRAMAR FL
33023-4815
US

IV. Provider business mailing address

2908 SW 67TH TER
MIRAMAR FL
33023-4815
US

V. Phone/Fax

Practice location:
  • Phone: 786-445-5356
  • Fax:
Mailing address:
  • Phone: 786-445-5356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11048264
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: