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NPI Code Detail

MEDICARE: JANETHE MOLINA DE PENA APRN,FNP-C

MEDICARE: JANETHE MOLINA DE PENA APRN,FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71797NM
2363LF0000XFamily Nurse Practitioner866643NV

General Provider Information

NPI Number : 1053136937
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANETHE MOLINA DE PENA APRN,FNP-C
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 702-561-0590
Fax Number :
Provider Business Practice Location Address
First Line : 4469 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1605
Country : US
Telephone Number : 702-637-4239
Fax Number : 877-569-2931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 02/12/2026

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