Individual
MS. CONSOLACION LICETH BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
100 PARK PLACE BLVD STE 201, KISSIMMEE, FL 34741-2326
(407) 766-4519
Mailing address
100 PARK PLACE BLVD STE 201, KISSIMMEE, FL 34741-2326
(407) 766-4519
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
9175391
FL
363LA2200X
Adult Health Nurse Practitioner
11025765
FL
363LG0600X
Gerontology Nurse Practitioner
11025765
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11025765
FL
Other
Enumeration date
05/24/2017
Last updated
03/27/2024
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