Provider Demographics
NPI:1437379484
Name:PERNAS, NEFTALI (ARNP)
Entity Type:Individual
Prefix:
First Name:NEFTALI
Middle Name:
Last Name:PERNAS
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 1:1036 NW 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2912
Mailing Address - Country:US
Mailing Address - Phone:305-360-8533
Mailing Address - Fax:305-360-8533
Practice Address - Street 1:1036 NW 11TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2912
Practice Address - Country:US
Practice Address - Phone:305-360-8533
Practice Address - Fax:305-360-8533
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9251755101YP2500X
FLARNP9251755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional