Provider Demographics
NPI:1992263511
Name:AMADOR, HANDHER (APRN)
Entity type:Individual
Prefix:
First Name:HANDHER
Middle Name:
Last Name:AMADOR
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6351 COW PEN RD APT W206
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2212
Mailing Address - Country:US
Mailing Address - Phone:786-393-8769
Mailing Address - Fax:
Practice Address - Street 1:351 NW 42ND AVE STE 303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5686
Practice Address - Country:US
Practice Address - Phone:305-631-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-04
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000642363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner