Provider Demographics
NPI:1972231132
Name:HENRIQUES, KAMI DENISE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KAMI
Middle Name:DENISE
Last Name:HENRIQUES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:KAMI
Other - Middle Name:DENISE
Other - Last Name:BEDDOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7350 MINDELLO ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6265
Mailing Address - Country:US
Mailing Address - Phone:309-369-7892
Mailing Address - Fax:
Practice Address - Street 1:7350 MINDELLO ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33143-6265
Practice Address - Country:US
Practice Address - Phone:309-369-7892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11012591363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty