Provider Demographics
NPI:1831992726
Name:MORALES SOUQUETT, ANNY ROSELYNN (FNP)
Entity type:Individual
Prefix:
First Name:ANNY
Middle Name:ROSELYNN
Last Name:MORALES SOUQUETT
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9744 NW 46TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1982
Mailing Address - Country:US
Mailing Address - Phone:305-833-6576
Mailing Address - Fax:
Practice Address - Street 1:9744 NW 46TH TER
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1982
Practice Address - Country:US
Practice Address - Phone:305-833-6576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11038461363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily