Provider Demographics
NPI:1679888283
Name:PRIBILA, BRENDA CAREEN (ARNP-C)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:CAREEN
Last Name:PRIBILA
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7850 NW 146TH ST
Mailing Address - Street 2:SUITE 508
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1564
Mailing Address - Country:US
Mailing Address - Phone:305-822-6000
Mailing Address - Fax:305-557-7904
Practice Address - Street 1:7850 NW 146TH ST
Practice Address - Street 2:SUITE 508
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1564
Practice Address - Country:US
Practice Address - Phone:305-822-6000
Practice Address - Fax:305-557-7904
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2063192363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner