Individual provider · NPI-1
Kleysis Acosta Cardenas, APRN
Nurse Practitioner, Family · West Palm Beach, FL
NPI number1942972955
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1942972955
- Entity type
- Individual (NPI-1)
- Name
- Kleysis Acosta Cardenas
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11015012 | FL | Yes |
Practice location
3540 Forest Hill Blvd Ste 205West Palm Beach, FL 33406-5878
Phone 561-770-1310
Mailing address
3925 Tuskegee DrLake Worth, FL 33462-2121
Phone 561-201-3743
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