Provider Demographics
NPI:1083172852
Name:PINZON, KATHERINE ANDREA (CRNA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANDREA
Last Name:PINZON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 NE 1ST AVE APT 1902
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1258
Mailing Address - Country:US
Mailing Address - Phone:954-274-1746
Mailing Address - Fax:
Practice Address - Street 1:1600 NE 1ST AVE APT 1902
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1258
Practice Address - Country:US
Practice Address - Phone:954-274-1746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9328115163W00000X
NY845412367500000X
FLAPRN11006121367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse