Willow Psychiatry And Wellness
Nurse Practitioner, Psych/Mental Health in Hialeah, FL. Organization (NPI-2).
NPI number1730972761
StatusActive
Last updated in NPPESMay 25, 2025
Details
- NPI
- 1730972761
- Entity type
- Organization (NPI-2)
- Legal business name
- Willow Psychiatry And Wellness
- Organization subpart
- No
- Enumeration date
- May 23, 2025
- Certification date
- May 25, 2025
- Last updated
- May 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
3379 W 90th TerHialeah, FL 33018-2007
Phone 305-815-6699
Mailing address
3379 W 90th TerHialeah, FL 33018-2007
Phone 305-815-6699
Authorized official
Monica Maria Corria Vendrell
Nurse Practitioner
3058156699
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