Provider Demographics
NPI:1114743903
Name:FERNANDEZ DE VEGAS, ARIANNA (APRN)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:
Last Name:FERNANDEZ DE VEGAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6021 W 14TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6246
Mailing Address - Country:US
Mailing Address - Phone:786-727-5317
Mailing Address - Fax:
Practice Address - Street 1:6021 W 14TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6246
Practice Address - Country:US
Practice Address - Phone:786-727-5317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9509582163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice