Pena, Erica Denise

Pena, Erica Denise is an individual health care provider with primary practice located at 6200 Sw 73Rd St , South Miami FL 33143-4679. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pena, Erica Denise can be contacted via phone (786) 662-4000.

Contact Information

Primary practice address
6200 Sw 73Rd St South Miami FL 33143-4679
Phone: (786) 662-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9578535 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN206475 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN206475 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11015862 Florida

Profile Details

NPI number 1023244803
LBN Legal business name Pena, Erica Denise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2009
Last updated Jan 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023244803 NPPES
Georgia MEDICAID 003120412A

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