Provider Demographics
NPI:1770350654
Name:DONOSO, MARIA BELEN (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARIA BELEN
Middle Name:
Last Name:DONOSO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MARIA BELEN
Other - Middle Name:
Other - Last Name:BALUJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2820 NE 214TH ST STE 825
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1270
Mailing Address - Country:US
Mailing Address - Phone:954-283-0044
Mailing Address - Fax:
Practice Address - Street 1:2820 NE 214TH ST STE 825
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1270
Practice Address - Country:US
Practice Address - Phone:954-283-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11029198363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily