Individual
CHANNEL R ANCHETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8501 SW 124TH AVE STE 102A, MIAMI, FL 33183-4631
(305) 228-4422
Mailing address
5390 W 9TH CT, HIALEAH, FL 33012-2435
(786) 521-1712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9340265
FL
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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