Individual
TANIA PILAR ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
8060 NW 155TH ST STE 202, MIAMI LAKES, FL 33016-5883
(305) 882-9144
(305) 328-4545
Mailing address
8060 NW 155TH ST STE 202, MIAMI LAKES, FL 33016-5883
(305) 882-9144
(305) 328-4545
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11004607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106178800
—
FL
Enumeration date
11/14/2018
Last updated
03/09/2026
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