Individual provider · Type 1 NPI
Julissa Leiva
Family Nurse Practitioner · Miami Gardens, FL
NPI number
1194509711
Active
Practice location
18441 NW 2nd Ave Ste 220
Miami Gardens, FL 33169-4577
Mailing address
12725 SW 70th Ln
Miami, FL 33183-2454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9434346 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 11024192 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194509711
Julissa Leiva's National Provider Identifier is 1194509711, issued on Aug 23, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami Gardens, FL. The record was last updated on Aug 23, 2023.