Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN11012486 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11012486 | FL |
NPI | 1396314589 |
---|---|
Provider Name | Adriana Alvarez Henao |
First Address | Miami, FL 33176-4438 |
Second Address | Miami, FL 33176-2197 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2021 |
Last Update Date | 23/06/2021 |