Provider Demographics
NPI:1265913479
Name:GUERRA BATISTA, LIUDMILA (APRN)
Entity type:Individual
Prefix:
First Name:LIUDMILA
Middle Name:
Last Name:GUERRA BATISTA
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 1:8500 W FLAGLER ST STE 106A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2063
Mailing Address - Country:US
Mailing Address - Phone:786-542-1844
Mailing Address - Fax:
Practice Address - Street 1:8500 W FLAGLER ST STE 106A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2063
Practice Address - Country:US
Practice Address - Phone:786-542-1844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-25
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM100362171M00000X
FL9425172363LF0000X
FLAPRN9425172363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily