Provider Demographics
NPI:1114548674
Name:CANALES PRIETO, ANARIUSKA (BSN)
Entity Type:Individual
Prefix:
First Name:ANARIUSKA
Middle Name:
Last Name:CANALES PRIETO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 JENNINGS AVE
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2025
Mailing Address - Country:US
Mailing Address - Phone:561-727-0871
Mailing Address - Fax:
Practice Address - Street 1:461 JENNINGS AVE
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-2025
Practice Address - Country:US
Practice Address - Phone:561-727-0871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9447933163W00000X, 163WA2000X, 163WC0400X, 163WC1500X, 163WC2100X, 163WD0400X, 163WI0500X, 163WI0600X, 163WR0006X, 163WW0000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163WW0000XNursing Service ProvidersRegistered NurseWound Care