Individual provider · NPI-1

Ada Liannys Alfonso, Ms

Nurse Practitioner, Family · Doral, FL

NPI number1285138610
StatusActive
Last updated in NPPESJun 21, 2023

Details

NPI
1285138610
Entity type
Individual (NPI-1)
Name
Ada Liannys Alfonso
Credential
Ms
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2018
Certification date
Apr 16, 2021
Last updated
Jun 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN11012300FLYes
163W00000X Registered Nurse934269TX

Practice location

10833 Nw 83rd St Unit 7
Doral, FL 33178-1686

Phone 917-454-8697

Mailing address

7825 Nw 107 Th Ave, Apt 207
Doral, FL 33178-1142

Phone 281-201-7507

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