Provider Demographics
NPI:1063251981
Name:GARCIA HINDOYAN, VANESSA (ARNP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:GARCIA HINDOYAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11539 NW 75TH LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2334
Mailing Address - Country:US
Mailing Address - Phone:786-448-1625
Mailing Address - Fax:
Practice Address - Street 1:11539 NW 75TH LN
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2334
Practice Address - Country:US
Practice Address - Phone:786-448-1625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily