Basic Information
Provider Information
NPI: 1013397827
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARIAS
FirstName: YASNAY
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8251 W BROWARD BLVD
Address2: SUITE 103
City: PLANTATION
State: FL
PostalCode: 333242703
CountryCode: US
TelephoneNumber: 9542557310
FaxNumber: 9542551530
Practice Location
Address1: 8251 W BROWARD BLVD
Address2: SUITE 103
City: PLANTATION
State: FL
PostalCode: 333242703
CountryCode: US
TelephoneNumber: 9542557310
FaxNumber: 9542551530
Other Information
ProviderEnumerationDate: 06/05/2015
LastUpdateDate: 02/18/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X9255775FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP0200X9255775FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
363LP2300X9255775FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
363LW0102X9255775FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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