Provider Demographics
NPI:1477923738
Name:HERRERA, BEATRIZ (FNP - C)
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:
Last Name:HERRERA
Suffix:
Gender:F
Credentials:FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23472 SW 113TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7148
Mailing Address - Country:US
Mailing Address - Phone:305-300-0460
Mailing Address - Fax:
Practice Address - Street 1:23472 SW 113TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7148
Practice Address - Country:US
Practice Address - Phone:305-300-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9267035363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily