Provider Demographics
NPI:1346892106
Name:TRELLES FERIA, EVA E (ARNP)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:E
Last Name:TRELLES FERIA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19912 NW 67TH CIRCLE CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2419
Mailing Address - Country:US
Mailing Address - Phone:305-469-0586
Mailing Address - Fax:
Practice Address - Street 1:19912 NW 67TH CIRCLE CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2419
Practice Address - Country:US
Practice Address - Phone:305-469-0586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002603363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner