Provider Demographics
NPI:1891579991
Name:ALONSO REYES, DANAISY EMELINA (FNP-BC)
Entity Type:Individual
Prefix:
First Name:DANAISY
Middle Name:EMELINA
Last Name:ALONSO REYES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11780 WATERS EDGE CT
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4860
Mailing Address - Country:US
Mailing Address - Phone:201-275-3571
Mailing Address - Fax:
Practice Address - Street 1:5701 CORAL RIDGE DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-3101
Practice Address - Country:US
Practice Address - Phone:954-825-4391
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2023125351363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily