MEDICARE: DANIELA ANDREINA IBARRA ARNP PMHNP-BC 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
1	363LP2300X	Primary Care Nurse Practitioner	APRN9311507	FL
2	363LF0000X	Family Nurse Practitioner	ARNP9311507	FL
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP9311507	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1457750028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA ANDREINA IBARRA ARNP PMHNP-BC FNP-C

Provider Business Mailing Address
First Line	:	1766 20TH AVE STE 2
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3632
Country	:	US
Telephone Number	:	772-539-0214
Fax Number	:	772-298-4170

Provider Business Practice Location Address
First Line	:	1766 20TH AVE STE 2
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3632
Country	:	US
Telephone Number	:	772-539-0214
Fax Number	:	772-298-4170

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

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	02/04/2026

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