MEDICARE: MS. ODALIS ALEJANDRA ECHEVARRIA FNP

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	363LF0000X	Family Nurse Practitioner	ARNP9292555	FL

General Provider Information

NPI Number	:	1730664996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ODALIS ALEJANDRA ECHEVARRIA FNP

Provider Business Mailing Address
First Line	:	495 E 45TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1859
Country	:	US
Telephone Number	:	786-501-3201
Fax Number	:

Provider Business Practice Location Address
First Line	:	495 E 45TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-1859
Country	:	US
Telephone Number	:	786-501-3201
Fax Number	:

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

Provider Enumeration Date	:	10/03/2018
Last Update Date	:	10/03/2018

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