Provider Demographics
NPI:1710494166
Name:DUPOTE, ERNESTINA (ARNP-DNP)
Entity Type:Individual
Prefix:DR
First Name:ERNESTINA
Middle Name:
Last Name:DUPOTE
Suffix:
Gender:F
Credentials:ARNP-DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SE 15TH RD
Mailing Address - Street 2:16A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129
Mailing Address - Country:US
Mailing Address - Phone:305-490-4601
Mailing Address - Fax:
Practice Address - Street 1:200 SE 15TH RD
Practice Address - Street 2:16A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33129
Practice Address - Country:US
Practice Address - Phone:305-490-4601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2958712363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care