Individual
KATIA L DORVILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN , APRN PMHNP-BC
Contact information
Practice address
2240 NW 177TH TER, MIAMI GARDENS, FL 33056-3617
(954) 309-6910
Mailing address
2240 NW 177TH TER, MIAMI GARDENS, FL 33056-3617
(954) 309-6910
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408385
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
70113856
WA
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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