MEDICARE: MRS. PATRICIA S GIRARD 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	363LG0600X	Gerontology Nurse Practitioner	1619062	FL

General Provider Information

NPI Number	:	1316911258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA S GIRARD ARNP

Provider Business Mailing Address
First Line	:	16942 WATERBEND DR
Second Line	:	APT. 260
City	:	JUPITER
State	:	FL
Zip	:	33477-5831
Country	:	US
Telephone Number	:	561-203-7866
Fax Number	:

Provider Business Practice Location Address
First Line	:	4847 FRED GLADSTONE DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-8023
Country	:	US
Telephone Number	:	561-687-5762
Fax Number	:

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	02/20/2015

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