MEDICARE: JEANNE ROSELIE FILS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP2751942	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00312470	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y071Y	OTHER		BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154300606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNE ROSELIE FILS ARNP

Provider Business Mailing Address
First Line	:	1099 BIRCHWOOD RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1816
Country	:	US
Telephone Number	:	954-465-8691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1099 BIRCHWOOD RD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33327-1816
Country	:	US
Telephone Number	:	954-465-8691
Fax Number	:	305-945-6191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	08/16/2013

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