Individual
MS. ILYSSA MARIE PLANTADA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-FNP, ARNP
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2118
(786) 597-8239
Mailing address
555 NE 15TH ST APT 29D, MIAMI, FL 33132-1432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9322146
FL
Other
Enumeration date
01/05/2016
Last updated
08/21/2023
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