Provider Demographics
NPI:1851923767
Name:ESTRADA, FRANCISCA VIVIAN (APRN)
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:VIVIAN
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:FRANCISCA
Other - Middle Name:VIVIAN
Other - Last Name:ESTRADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:12309 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1723
Mailing Address - Country:US
Mailing Address - Phone:954-392-4750
Mailing Address - Fax:
Practice Address - Street 1:2801 NE 213TH ST STE 1209
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1267
Practice Address - Country:US
Practice Address - Phone:954-409-1767
Practice Address - Fax:305-952-4866
Is Sole Proprietor?:No
Enumeration Date:2020-02-08
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11006075363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily