| Doctor Name: | MISS IVONNE FABIOLA NIEVES |
| NPI Number: | 1043429079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ANT3306292 |
| Business Practice Address: | 7530 Treasure St Navarre, FL - 325667875 |
| Business Phone Number: | 8509368083 |
| Business Fax Number: | |
| Mailing Address: | 7530 Treasure St, NAVARRE |
| State: | FL |
| Postal Code: | 325667875 |
| Phone Number: | 8509368083 |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ANT3306292 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |