Provider Demographics
NPI:1265205397
Name:HIDALGO LABRADA, DANAYS ODALYS (FNP-C)
Entity type:Individual
Prefix:
First Name:DANAYS
Middle Name:ODALYS
Last Name:HIDALGO LABRADA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DANAYS
Other - Middle Name:
Other - Last Name:HIDALGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7905 SHALIMAR ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2429
Mailing Address - Country:US
Mailing Address - Phone:786-704-3060
Mailing Address - Fax:
Practice Address - Street 1:7905 SHALIMAR ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-2429
Practice Address - Country:US
Practice Address - Phone:786-704-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028703363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily