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NPI Code Detail

MEDICARE: DIANA YVONNE NELSON APRN, PMHNP-BC

MEDICARE:   DIANA YVONNE NELSON  APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerNP95025352CA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11024591FL

General Provider Information

NPI Number : 1154028868
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA YVONNE NELSON APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 6100 SW 76TH ST
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-5002
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6100 SW 76TH ST
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-5002
Country : US
Telephone Number : 305-663-1876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 08/19/2024

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Directions to “ DIANA YVONNE NELSON APRN, PMHNP-BC” Practice Location

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