Provider Demographics
NPI:1295559110
Name:PEREZ, ADRIANNA VITA BATES (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:VITA BATES
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 MOCCASIN TRL W
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8030
Mailing Address - Country:US
Mailing Address - Phone:708-525-0971
Mailing Address - Fax:
Practice Address - Street 1:287 MOCCASIN TRL W
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-8030
Practice Address - Country:US
Practice Address - Phone:708-525-0971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily