Provider Demographics
NPI:1437715455
Name:SAGRERA-MULEN., ACIEL (DNP, MSN,FNP-C,APRN)
Entity Type:Individual
Prefix:DR
First Name:ACIEL
Middle Name:
Last Name:SAGRERA-MULEN.
Suffix:
Gender:M
Credentials:DNP, MSN,FNP-C,APRN
Other - Prefix:DR
Other - First Name:ACIEL
Other - Middle Name:
Other - Last Name:SAGRERA-MULEN.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP,MSN,FNP-C,APRN
Mailing Address - Street 1:500 SW 145TH AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-6197
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 SW 145TH AVE APT 205
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-6197
Practice Address - Country:US
Practice Address - Phone:786-890-9931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX966293163W00000X
FL9508370163W00000X
TX1045774363LF0000X, 363LP2300X
FL11021018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care