Individual
MRS. LISA JAYNE SOSA TUESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, PPCNP-BC
Contact information
Practice address
3100 SW 62ND AVE, CARDIAC INTENSIVE CARE UNIT, 2ND FLOOR, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
4245 SW 179TH WAY, MIRAMAR, FL 33029-5077
(954) 558-6917
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 3361212
FL
Other
Enumeration date
12/11/2009
Last updated
06/18/2015
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