Provider Demographics
NPI:1164082020
Name:MOREIRA, ANALOURDES DAVID (APRN)
Entity Type:Individual
Prefix:
First Name:ANALOURDES
Middle Name:DAVID
Last Name:MOREIRA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 EMERALD TREE LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4084
Mailing Address - Country:US
Mailing Address - Phone:407-394-8266
Mailing Address - Fax:
Practice Address - Street 1:2512 EMERALD TREE LN
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4084
Practice Address - Country:US
Practice Address - Phone:407-394-8266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11002282363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily