Provider Demographics
NPI:1699359166
Name:NIEVES, YARILEXI (RN)
Entity Type:Individual
Prefix:
First Name:YARILEXI
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:486 BARRIER REEF ST
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-8089
Mailing Address - Country:US
Mailing Address - Phone:305-216-3816
Mailing Address - Fax:
Practice Address - Street 1:486 BARRIER REEF ST
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-8089
Practice Address - Country:US
Practice Address - Phone:305-216-3816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9560738163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse