Provider Demographics
NPI:1154027555
Name:PEDROSO, DENIA (MSN, APRN, AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DENIA
Middle Name:
Last Name:PEDROSO
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8851 NW 119TH ST UNIT 3206
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7909
Mailing Address - Country:US
Mailing Address - Phone:305-910-6091
Mailing Address - Fax:
Practice Address - Street 1:8851 NW 119TH ST UNIT 3206
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-7909
Practice Address - Country:US
Practice Address - Phone:305-910-6091
Practice Address - Fax:857-336-1383
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN110152572084P0800X, 363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty