Individual
MRS. FANNY YADIRA GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6531
Mailing address
7800 SW 132ND AVE, MIAMI, FL 33183-4269
(305) 386-9285
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9166176
FL
363LA2200X
Adult Health Nurse Practitioner
9166176
FL
Other
Enumeration date
09/10/2009
Last updated
02/20/2020
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