Provider Demographics
NPI:1295496099
Name:URRA, ORMELVIS (APRN)
Entity type:Individual
Prefix:
First Name:ORMELVIS
Middle Name:
Last Name:URRA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 BIRD RD STE 39
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6747
Mailing Address - Country:US
Mailing Address - Phone:786-508-4803
Mailing Address - Fax:
Practice Address - Street 1:7921 BIRD RD STE 39
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6747
Practice Address - Country:US
Practice Address - Phone:786-508-4803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016768363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily