Provider Demographics
NPI:1962749291
Name:SEBASTIA, YESENIA (ARNP)
Entity type:Individual
Prefix:MRS
First Name:YESENIA
Middle Name:
Last Name:SEBASTIA
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15495 EAGLE NEST LN STE 270
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2267
Mailing Address - Country:US
Mailing Address - Phone:305-557-6719
Mailing Address - Fax:305-279-7709
Practice Address - Street 1:15495 EAGLE NEST LN STE 270
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2267
Practice Address - Country:US
Practice Address - Phone:305-557-6719
Practice Address - Fax:305-557-6719
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2933532363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health