MEDICARE: VANESSA PEREYRA

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
1	163W00000X	Registered Nurse	9686175	FL

General Provider Information

NPI Number	:	1457231276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VANESSA PEREYRA

Provider Business Mailing Address
First Line	:	3529 NW 114TH LN
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-2636
Country	:	US
Telephone Number	:	239-322-2052
Fax Number	:

Provider Business Practice Location Address
First Line	:	3529 NW 114TH LN
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-2636
Country	:	US
Telephone Number	:	239-322-2052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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Directions to “ VANESSA PEREYRA ” Practice Location

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