Provider Demographics
NPI:1063295236
Name:AMARO, YUSDANIA (APRN FNP-BC)
Entity type:Individual
Prefix:
First Name:YUSDANIA
Middle Name:
Last Name:AMARO
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 W WATERS AVE STE 101A
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1874
Mailing Address - Country:US
Mailing Address - Phone:813-935-1944
Mailing Address - Fax:813-884-1955
Practice Address - Street 1:2908 W WATERS AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1874
Practice Address - Country:US
Practice Address - Phone:813-935-1944
Practice Address - Fax:813-884-1955
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027984363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily