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Individual

AMY DISLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, MSN, PMHNP-BC

Contact information

Practice address
14591 SW 26TH ST, MIAMI, FL 33175-8038
(954) 639-6693
Mailing address
1439 SW 154TH PATH, MIAMI, FL 33194-2649
(954) 639-6693

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN9482194
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11039703
FL

Other

Enumeration date
06/09/2025
Last updated
06/09/2025
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