Provider Demographics
NPI:1336587161
Name:PASCUAL, ELIZABETH (MSN, ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3656 SW 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5032
Mailing Address - Country:US
Mailing Address - Phone:786-316-1297
Mailing Address - Fax:
Practice Address - Street 1:1430 S DIXIE HWY
Practice Address - Street 2:STE 304
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3159
Practice Address - Country:US
Practice Address - Phone:888-696-4322
Practice Address - Fax:866-525-0411
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9293743363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily