Individual
AMANDA DEYANIRA URIBE PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 W BROWARD BLVD, LAUDERHILL, FL 33312-1082
(954) 512-3737
Mailing address
1425 SAINT GABRIELLE LN APT 4206, WESTON, FL 33326-4029
(954) 512-3737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ALPP-315890
FL
163W00000X
Registered Nurse
9497191
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11039862
FL
Other
Enumeration date
06/09/2020
Last updated
06/05/2025
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