Clara Lourdes Anta, ARNP
Individual provider Active NPI Nurse Practitioner · Pinecrest, FL
NPI 1891402632 · NPPES record last updated Nov 1, 2022
Key facts
- NPI
- 1891402632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 11022588 (FL)
- Practice address
- 6830 SW 120TH St
Pinecrest, FL 33156-5455 - Phone
- (305) 332-4175
- NPI assigned
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022588 | FL | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11022588 | FL | Yes |
Addresses
Primary practice location
6830 SW 120TH St
Pinecrest, FL 33156-5455
Mailing address
6830 SW 120TH St
Pinecrest, FL 33156-5455
Phone (305) 332-4175
Other providers in Pinecrest, FL
- Amerihealth Home Care Agency, LLC.
- Aylen Amestoy
- Daryn Mark Andrews
- Angel'S Touch Rehab L.L.C.
- Annie Hale Pediatric Physical Therapy, PLLC
- German Arbelaez
- Jose Fernando Arena
- Rosalinda Arias
- Arthros,LLC
- Danielle Askowitz Assayag
All providers in Pinecrest, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.