Provider Demographics
NPI:1881158731
Name:PANECA ARNAIZ, YULIET (APRN)
Entity type:Individual
Prefix:MISS
First Name:YULIET
Middle Name:
Last Name:PANECA ARNAIZ
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 1:106 RONALD RD
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5253
Mailing Address - Country:US
Mailing Address - Phone:786-484-3166
Mailing Address - Fax:
Practice Address - Street 1:291 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1401
Practice Address - Country:US
Practice Address - Phone:305-858-1828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-24
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV821505363LF0000X
FL11000656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily