Provider Demographics
NPI:1326734880
Name:ECHETO, NEXIDA (FNP)
Entity Type:Individual
Prefix:
First Name:NEXIDA
Middle Name:
Last Name:ECHETO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26000 SW 144TH AVENUE RD APT 216
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7415
Mailing Address - Country:US
Mailing Address - Phone:786-423-8056
Mailing Address - Fax:
Practice Address - Street 1:26000 SW 144TH AVENUE RD APT 216
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7415
Practice Address - Country:US
Practice Address - Phone:786-423-8056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025841251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care