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Individual

MS. KAILEN RIVERO MARRERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN9453864

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9453864
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105263500
FL
01
APRN9453864
APRN LICENSE
FL
Enumeration date
07/09/2018
Last updated
08/12/2024
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