Provider Demographics
NPI:1558963876
Name:IGLESIAS, LENA BETH (APRN, FNP-BC, CPN)
Entity type:Individual
Prefix:MS
First Name:LENA
Middle Name:BETH
Last Name:IGLESIAS
Suffix:
Gender:F
Credentials:APRN, FNP-BC, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7872 SW 89TH LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7570
Mailing Address - Country:US
Mailing Address - Phone:305-799-3027
Mailing Address - Fax:
Practice Address - Street 1:7872 SW 89TH LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7570
Practice Address - Country:US
Practice Address - Phone:305-799-3027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily