Provider Demographics
NPI:1417598939
Name:TRELLES FERIA, ANA M (ARNP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
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:305-431-9983
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:305-431-9983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-06
Last Update Date:2019-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002951363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily