Provider Demographics
NPI:1700405537
Name:SCHIFFINI PEREZ, AYESSHA SUSANA (APRN)
Entity Type:Individual
Prefix:
First Name:AYESSHA
Middle Name:SUSANA
Last Name:SCHIFFINI PEREZ
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 1:17300 NE 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2913
Mailing Address - Country:US
Mailing Address - Phone:305-318-3654
Mailing Address - Fax:
Practice Address - Street 1:17300 NE 23RD AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2913
Practice Address - Country:US
Practice Address - Phone:305-318-3654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-12
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006715363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily