Individual
MARIA CRISTINA BASANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2364
Mailing address
245 NE 14TH ST APT 3607, MIAMI, FL 33132-1639
(305) 322-8961
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11010581
FL
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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