Provider Demographics
NPI:1922823228
Name:ALFONSO, ADRIANNA MICHELLE (APRN)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:MICHELLE
Last Name:ALFONSO
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 1:14748 SW 61ST LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-2403
Mailing Address - Country:US
Mailing Address - Phone:305-972-3126
Mailing Address - Fax:
Practice Address - Street 1:14748 SW 61ST LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-2403
Practice Address - Country:US
Practice Address - Phone:305-972-3126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036417363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care