Individual
MERCEDES MARIA PENAFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
940 NW 128TH PL, MIAMI, FL 33182-2318
(786) 461-2857
Mailing address
940 NW 128TH PL, MIAMI, FL 33182-2318
(786) 461-2857
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11018574
FL
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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