Provider Demographics
NPI:1144095969
Name:TOVAR-HERRERA, DIANA YULIETH (APRN, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:YULIETH
Last Name:TOVAR-HERRERA
Suffix:
Gender:F
Credentials:APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15065 SW 9TH WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-2769
Mailing Address - Country:US
Mailing Address - Phone:678-769-1033
Mailing Address - Fax:
Practice Address - Street 1:15065 SW 9TH WAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33194-2769
Practice Address - Country:US
Practice Address - Phone:678-769-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11029816363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care