Provider Demographics
NPI:1942446042
Name:FEDERIZO, AMBER MARIE (DNP)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:MARIE
Last Name:FEDERIZO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:VIERRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8255 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7717
Mailing Address - Country:US
Mailing Address - Phone:786-567-8310
Mailing Address - Fax:877-370-4375
Practice Address - Street 1:8255 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7717
Practice Address - Country:US
Practice Address - Phone:786-567-8310
Practice Address - Fax:877-370-4375
Is Sole Proprietor?:No
Enumeration Date:2008-12-21
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN001334363L00000X, 363L00000X
NVNV48717163W00000X
NVAPRN001334163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis