Pena, Erica Denise
Pena, Erica Denise is an individual health care provider with primary practice located at 6200 Sw 73Rd St , South Miami FL 33143-4679. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pena, Erica Denise can be contacted via phone (786) 662-4000.Contact Information
Primary practice address
6200 Sw 73Rd St
South Miami FL 33143-4679
Phone: (786) 662-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN9578535 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN206475 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN206475 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN11015862 | Florida |
Profile Details
NPI number | 1023244803 |
---|---|
LBN Legal business name | Pena, Erica Denise |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2009 |
Last updated | Jan 5th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023244803 | NPPES |
Georgia | MEDICAID | 003120412A |
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