Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 11016386 | FL |
NPI | 1033876040 |
---|---|
Provider Name | Olania Fernandez |
First Address | Miami, FL 33186-3066 |
Second Address | Miami, FL 33186-3066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2021 |
Last Update Date | 24/11/2021 |