Individual provider · NPI-1

Yarelis Alicea, APRN

Nurse Practitioner, Pediatrics · Miami, FL

NPI number1912440512
StatusActive
Last updated in NPPESFeb 11, 2022

Details

NPI
1912440512
Entity type
Individual (NPI-1)
Name
Yarelis Alicea
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2016
Certification date
Feb 11, 2022
Last updated
Feb 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAPRN9243302FLYes

Practice location

3100 Sw 62nd Ave
Miami, FL 33155-3009

Phone 305-666-6511

Mailing address

3100 Sw 62 Ave
Miami, FL 33155

Phone 305-666-6511

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