NPI Profile for CONSOLACION L BECERRA in KISSIMMEE, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
163WP0808X |
| NPI # | 1619405461 |
|
| Status | Active | |
| Credentials | RN-BC (Registered Nurse – Board Certified) | |
| Entity | Individual | |
| Enumeration date | 05/24/2017 | |
| Last updated | 03/27/2024 - About 2 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CONSOLACION L BECERRA
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| MYRNA L MARTINEZ, RN 1503-1507 BILL BECK BLVD KISSIMMEE, FL |
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