Individual
GLORIMARI NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-9920
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9415371
FL
363L00000X
Nurse Practitioner
Primary
APRN11004104
FL
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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