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NPI Code Detail

MEDICARE: ANDREA R CORRALES APRN

MEDICARE: ANDREA R CORRALES APRN
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 PractitionerARNP9205151FL
2363LF0000XFamily Nurse PractitionerAPRN9205151FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356587802
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA R CORRALES APRN
Provider Business Mailing Address
First Line : 1500 NW 12TH AVE
Second Line : E-1007
City : MIAMI
State : FL
Zip : 33136-1051
Country : US
Telephone Number : 305-243-3636
Fax Number : 305-243-6575
Provider Business Practice Location Address
First Line : 41214 FISHER ISLAND DR
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33109-1255
Country : US
Telephone Number : 305-503-8634
Fax Number : 305-777-9640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2009
Last Update Date : 11/17/2021

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Directions to “ ANDREA R CORRALES APRN” Practice Location

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