Provider Demographics
NPI:1619728532
Name:FERRERA PENATE, YENISLEIDYS CANDELARIA (APRN)
Entity Type:Individual
Prefix:
First Name:YENISLEIDYS
Middle Name:CANDELARIA
Last Name:FERRERA PENATE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13470 SW 62ND ST APT N108
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-5064
Mailing Address - Country:US
Mailing Address - Phone:786-374-7629
Mailing Address - Fax:
Practice Address - Street 1:13470 SW 62ND ST APT N108
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-5064
Practice Address - Country:US
Practice Address - Phone:786-374-7629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11031804363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care