Individual
ANA LUISA REY MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
4623 FOREST HILL BLVD STE 112, WEST PALM BEACH, FL 33415-9121
(561) 433-0080
(561) 433-1668
Mailing address
6710 OSAGE CIR, GREENACRES, FL 33413-3479
(305) 713-5796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11000458
FL
363LP2300X
Primary Care Nurse Practitioner
11000458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
01/17/2019
Last updated
01/13/2025
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