Individual provider · Type 1 NPI
Evangeline Datu Cordova, APRN
Gerontology Nurse Practitioner · Miami, FL
NPI number
1710733258
Active
Practice location
16235 SW 103rd Ter
Miami, FL 33196-4903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 11031148 (FL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1710733258
Evangeline Datu Cordova, APRN's National Provider Identifier is 1710733258, issued on Apr 25, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Miami, FL. The record was last updated on Apr 25, 2024.