Provider Demographics
NPI:1205606274
Name:DE ARMAS, ANNALIS (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ANNALIS
Middle Name:
Last Name:DE ARMAS
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10450 SW 157TH CT APT 304
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3650
Mailing Address - Country:US
Mailing Address - Phone:786-553-1745
Mailing Address - Fax:
Practice Address - Street 1:10450 SW 157TH CT APT 304
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3650
Practice Address - Country:US
Practice Address - Phone:786-553-1745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL-313859163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant