Provider Demographics
NPI:1770502437
Name:KAPADIA, MARIANE P (RN,MSN,ARNP-BC)
Entity Type:Individual
Prefix:
First Name:MARIANE
Middle Name:P
Last Name:KAPADIA
Suffix:
Gender:F
Credentials:RN,MSN,ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1624
Mailing Address - Country:US
Mailing Address - Phone:305-324-4455
Mailing Address - Fax:305-575-3364
Practice Address - Street 1:1201 NW 16 ST
Practice Address - Street 2:MIAMI VA HEALTHCARE SYSTEM
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-324-4455
Practice Address - Fax:305-575-3364
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1019042363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health