Provider Demographics
NPI:1245719640
Name:MARTINEZ LA FE, YAGNA ELENA (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:YAGNA
Middle Name:ELENA
Last Name:MARTINEZ LA FE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2826
Mailing Address - Country:US
Mailing Address - Phone:305-532-9945
Mailing Address - Fax:
Practice Address - Street 1:2921 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2826
Practice Address - Country:US
Practice Address - Phone:305-532-9945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9408896363LF0000X
FLARNP9408896363LF0000X
FL9408896363LF0000X
FLRN9408896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily