Provider Demographics
NPI:1518540574
Name:CZEREMCHA, ALINA ISABEL (APRN-FNP)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:ISABEL
Last Name:CZEREMCHA
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12440 SW 29TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-2115
Mailing Address - Country:US
Mailing Address - Phone:305-338-6548
Mailing Address - Fax:
Practice Address - Street 1:12440 SW 29TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-2115
Practice Address - Country:US
Practice Address - Phone:305-338-6548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11001736363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty