Individual
ISMARY IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11321 SW 145TH AVE, MIAMI, FL 33186-6676
(786) 218-9592
Mailing address
11321 SW 145TH AVE, MIAMI, FL 33186-6676
(786) 218-9592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11005483
FL
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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