| Doctor Name: | OSIRIS IZCHELL AHUATZIN |
| NPI Number: | 1033582895 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | ARNP9347533 |
| Business Practice Address: | 3026 Rockville Ln Royal Palm Beach, FL - 334118299 |
| Business Phone Number: | 5616766079 |
| Business Fax Number: | |
| Mailing Address: | 5162 Linton Blvd, Ste 106 DELRAY BEACH |
| State: | FL |
| Postal Code: | 334846567 |
| Phone Number: | 5614984010 |
| Fax Number: | 5614984011 |
| NPI Enumeration Date: | 11/02/2015 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9347533 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |