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Individual

DANIELA JOSEPH FISIAS ALTIDOR

Active
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Individual

DANIELA JOSEPH FISIAS ALTIDOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC, NI-BC

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
9256027
FL
163WR0400X
Rehabilitation Registered Nurse
9256027
FL
363LF0000X
Family Nurse Practitioner
Primary
11028904
FL
364SI0800X
Informatics Clinical Nurse Specialist
11028904
FL

Other

Enumeration date
09/28/2016
Last updated
12/02/2023
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