Provider Demographics
NPI:1073943205
Name:PERNAS, CECILIA (ARNP, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:
Last Name:PERNAS
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4722 HIBBS GROVE TER
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4457
Mailing Address - Country:US
Mailing Address - Phone:954-224-0465
Mailing Address - Fax:
Practice Address - Street 1:4722 HIBBS GROVE TER
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-4457
Practice Address - Country:US
Practice Address - Phone:954-224-0465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9170694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily