Individual
DALAILAH REYNA DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4254 S ALAMEDA ST, CORPUS CHRISTI, TX 78412-2469
(361) 853-4191
(361) 853-8768
Mailing address
6101 BLUE LAGOON DR, STE 400, MIAMI, FL 33126-2051
(305) 500-2027
(305) 500-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP132792
TX
363LA2200X
Adult Health Nurse Practitioner
AP132792
TX
363LG0600X
Gerontology Nurse Practitioner
AP132792
TX
Other
Enumeration date
12/22/2016
Last updated
12/05/2021
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