MP ADVANCED PRACTICE PA NPI 1538744677

NPI Information

NPI: 1538744677
Provider Name: MP ADVANCED PRACTICE PA
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
15679 SW 10TH LN
MIAMI, FL
ZIP 33194
Phone: (786) 374-7521
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MP ADVANCED PRACTICE PA is an adult health nurse practitioner in Miami, FL. MP ADVANCED PRACTICE PA NPI is 1538744677. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15679 SW 10TH LN
MIAMI, FL
ZIP 33194-420
Phone: (786) 374-7521

The provider's authorized official is Marien Perez .
The authorized official title is Authorized Officail and has the following contact phone number (786) 374-7521.

The enumeration date for this NPI number is 3/10/2021 and was last updated on 3/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APRN11000079	OTHER	FLORIDA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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