Provider Demographics
NPI:1700164035
Name:NOTARIO, YENEYSI (APRN)
Entity Type:Individual
Prefix:
First Name:YENEYSI
Middle Name:
Last Name:NOTARIO
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 1:7925 NW 12TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1821
Mailing Address - Country:US
Mailing Address - Phone:305-874-3909
Mailing Address - Fax:305-874-3916
Practice Address - Street 1:1176 SW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4700
Practice Address - Country:US
Practice Address - Phone:305-359-9838
Practice Address - Fax:786-224-6490
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLF07161084363LF0000X
FLAPRN9296563363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily