MEDICARE: YENDRY MILIAN 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
1	363L00000X	Nurse Practitioner	11023264	FL

General Provider Information

NPI Number	:	1588377428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YENDRY MILIAN APRN

Provider Business Mailing Address
First Line	:	7920 LASALLE BLVD
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-4500
Country	:	US
Telephone Number	:	786-282-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 W 16TH AVE STE 2
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7101
Country	:	US
Telephone Number	:	305-826-0002
Fax Number	:	786-838-0423

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

Provider Enumeration Date	:	01/05/2023
Last Update Date	:	02/20/2026

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Directions to “ YENDRY MILIAN APRN” Practice Location

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