Provider Demographics
NPI:1871361311
Name:MAURY, KATERINA (APRN)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:MAURY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3661 S MIAMI AVE STE 803
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4223
Mailing Address - Country:US
Mailing Address - Phone:786-600-4733
Mailing Address - Fax:786-724-4889
Practice Address - Street 1:3661 S MIAMI AVE STE 803
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4223
Practice Address - Country:US
Practice Address - Phone:786-600-4733
Practice Address - Fax:786-724-4889
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029662363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty