Provider Demographics
NPI:1407623432
Name:TERAN, NAIR ALEJANDRA (APRN)
Entity Type:Individual
Prefix:
First Name:NAIR
Middle Name:ALEJANDRA
Last Name:TERAN
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 1:7921 BIRD RD STE 39-42
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6747
Mailing Address - Country:US
Mailing Address - Phone:305-244-9387
Mailing Address - Fax:
Practice Address - Street 1:9300 SW 62ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2304
Practice Address - Country:US
Practice Address - Phone:305-244-9387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029917363LF0000X
FLAPRN11029917363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health