Lorena Cornavaca
Nurse Practitioner, Acute Care in South Miami, FL. Individual provider (NPI-1).
NPI number1235840901
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1235840901
- Entity type
- Individual (NPI-1)
- Name
- Lorena Cornavaca
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 11022648 | FL | Yes |
| 363L00000X | Nurse Practitioner | APRN11022648 | FL |
Practice location
6200 Sunset Dr Ste 130South Miami, FL 33143-4832
Phone 786-596-3876 · Fax 786-533-9989
Mailing address
Po Box 198054Atlanta, GA 30384-8054
Phone 786-596-3876 · Fax 786-533-9989
Other practice locations
7112 Sw 103rd Pl
Miami, FL 33173-1377
Miami, FL 33173-1377
Phone 786-879-6762
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