Provider Demographics
NPI:1063948875
Name:ROSALES FERNANDEZ, DAYAMI (MSN, RN, FNP)
Entity type:Individual
Prefix:MRS
First Name:DAYAMI
Middle Name:
Last Name:ROSALES FERNANDEZ
Suffix:
Gender:F
Credentials:MSN, RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 SW 96TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2058
Mailing Address - Country:US
Mailing Address - Phone:502-345-9058
Mailing Address - Fax:
Practice Address - Street 1:225 SW 96TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2058
Practice Address - Country:US
Practice Address - Phone:502-345-9058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9373627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily