Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11010392 | FL |
NPI | 1366115743 |
---|---|
Provider Name | Aileen Estrada Apellanes |
First Address | Pembroke Pines, FL 33028-1839 |
Second Address | Miami, FL 33156-7377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2021 |
Last Update Date | 30/07/2021 |