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NPI Code Detail

MEDICARE: MAYRELIS BADA FNP-C, APRN

MEDICARE: MAYRELIS BADA FNP-C, 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
1363L00000XNurse Practitioner11025181FL

General Provider Information

NPI Number : 1578264222
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYRELIS BADA FNP-C, APRN
Provider Business Mailing Address
First Line : 9540 MARTINIQUE DR
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1732
Country : US
Telephone Number : 954-995-9176
Fax Number :
Provider Business Practice Location Address
First Line : 9540 MARTINIQUE DR
Second Line :
City : CUTLER BAY
State : FL
Zip : 33189-1732
Country : US
Telephone Number : 954-995-9176
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2023
Last Update Date : 01/30/2026

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