Provider Demographics
NPI:1639635964
Name:SATORRE, MAYULI (APRN, FNP, PMHNP)
Entity type:Individual
Prefix:
First Name:MAYULI
Middle Name:
Last Name:SATORRE
Suffix:
Gender:F
Credentials:APRN, FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1765 W 41ST ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7019
Mailing Address - Country:US
Mailing Address - Phone:305-322-7554
Mailing Address - Fax:
Practice Address - Street 1:1765 W 41ST ST APT 2C
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7019
Practice Address - Country:US
Practice Address - Phone:305-322-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-12
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF09181035363LF0000X
FL11001708363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health