Provider Demographics
NPI:1932953130
Name:YENEYSI NOTARIO APRN INC
Entity Type:Organization
Organization Name:YENEYSI NOTARIO APRN INC
Other - Org Name:EPIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YENEYSI
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTARIO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:305-525-7797
Mailing Address - Street 1:12863 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3434
Mailing Address - Country:US
Mailing Address - Phone:786-536-5076
Mailing Address - Fax:305-686-3356
Practice Address - Street 1:12863 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3434
Practice Address - Country:US
Practice Address - Phone:786-536-5076
Practice Address - Fax:305-686-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty