Provider Demographics
NPI:1073231957
Name:ESPINOSA, MAYRA (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MAYRA
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 MORRISON RD
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4835
Mailing Address - Country:US
Mailing Address - Phone:863-451-6187
Mailing Address - Fax:
Practice Address - Street 1:223 MORRISON RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4835
Practice Address - Country:US
Practice Address - Phone:863-451-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-17
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020220363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily