Provider Demographics
NPI:1730664996
Name:ECHEVARRIA, ODALIS ALEJANDRA (FNP)
Entity Type:Individual
Prefix:MS
First Name:ODALIS
Middle Name:ALEJANDRA
Last Name:ECHEVARRIA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 E 45TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1859
Mailing Address - Country:US
Mailing Address - Phone:786-501-3201
Mailing Address - Fax:
Practice Address - Street 1:495 E 45TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1859
Practice Address - Country:US
Practice Address - Phone:786-501-3201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9292555363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily