Provider Demographics
NPI:1912540337
Name:MACHADO QUESADA, YANAY (APRN)
Entity Type:Individual
Prefix:
First Name:YANAY
Middle Name:
Last Name:MACHADO QUESADA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 JASMINE CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5845
Mailing Address - Country:US
Mailing Address - Phone:786-337-0643
Mailing Address - Fax:
Practice Address - Street 1:12002 SW 128TH CT STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4643
Practice Address - Country:US
Practice Address - Phone:786-362-6114
Practice Address - Fax:786-362-6172
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027395363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner