Provider Demographics
NPI:1114439726
Name:OLIVERA-PARENTE, DANIELA (NP)
Entity Type:Individual
Prefix:MS
First Name:DANIELA
Middle Name:
Last Name:OLIVERA-PARENTE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 NW 10TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1344
Mailing Address - Country:US
Mailing Address - Phone:561-391-2708
Mailing Address - Fax:561-391-3112
Practice Address - Street 1:1500 NW 10TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1344
Practice Address - Country:US
Practice Address - Phone:561-391-2708
Practice Address - Fax:561-391-3112
Is Sole Proprietor?:No
Enumeration Date:2017-11-05
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340749-1363LF0000X
FL11013489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily