Clarinda Perdido Hefner, APRN

Individual provider Active NPI Nurse Practitioner · Tavernier, FL

NPI 1356060073 · NPPES record last updated Jun 20, 2024

Key facts

NPI
1356060073
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN11015898 (FL)
Practice address
91500 Overseas Hwy
Tavernier, FL 33070-2547
Phone
(305) 434-3000
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APRN11015898FLMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11015898 FL Yes

Addresses

Primary practice location

91500 Overseas Hwy
Tavernier, FL 33070-2547

Mailing address

91500 Overseas Hwy
Tavernier, FL 33070-2547

Other providers in Tavernier, FL

All providers in Tavernier, FL · Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.