Individual
YESENIA MARIE IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
17820 SW 149TH AVE, MIAMI, FL 33187-6251
(305) 721-7603
Mailing address
17820 SW 149TH AVE, MIAMI, FL 33187-6251
(305) 721-7603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11015808
FL
363LA2100X
Acute Care Nurse Practitioner
APRN9463825
FL
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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