Provider Demographics
NPI:1508657982
Name:WILCHES-KARRAT, LINA MARIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:MARIA
Last Name:WILCHES-KARRAT
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:LINA
Other - Middle Name:
Other - Last Name:WILCHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:960 NW 79TH TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1474
Mailing Address - Country:US
Mailing Address - Phone:954-706-7226
Mailing Address - Fax:
Practice Address - Street 1:960 NW 79TH TER
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1474
Practice Address - Country:US
Practice Address - Phone:954-706-7226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038902363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health