Yadira Pulido Pena, APRN
Nurse Practitioner in North Port, FL. Individual provider (NPI-1).
NPI number1497565097
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1497565097
- Entity type
- Individual (NPI-1)
- Name
- Yadira Pulido Pena
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2025
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11034137 | FL | Yes |
Practice location
3422 Moravia Ave Fl 34286North Port, FL 34286-5215
Phone 941-350-9319
Mailing address
3422 Moravia Ave Fl 34286North Port, FL 34286-5215
Phone 941-350-9319
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