Basic Information
Provider Information
NPI: 1437561503
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEL SOL
FirstName: NIURKA
MiddleName: EMILIA
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 121 S ORANGE AVE
Address2: STE 940
City: ORLANDO
State: FL
PostalCode: 328013234
CountryCode: US
TelephoneNumber: 4076589687
FaxNumber: 4076589688
Practice Location
Address1: 829 DOUGLAS AVE
Address2:  
City: ALTAMONTE SPRINGS
State: FL
PostalCode: 327142084
CountryCode: US
TelephoneNumber: 4073320000
FaxNumber: 3212957928
Other Information
ProviderEnumerationDate: 05/23/2014
LastUpdateDate: 12/07/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X9322083FLN Nursing Service ProvidersRegistered Nurse 
363LA2200XARNP9322083FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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