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NPI Code Detail

MEDICARE: MYRIAM DENOSE NP

MEDICARE:   MYRIAM  DENOSE  NP
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
1363L00000XNurse Practitioner95026502CA
2363L00000XNurse PractitionerARNP9273392FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396109690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRIAM DENOSE NP
Provider Business Mailing Address
First Line : 6255 W SUNSET BLVD FL 21
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7422
Country : US
Telephone Number : 323-860-5200
Fax Number : 323-467-7119
Provider Business Practice Location Address
First Line : 700 SE 3RD AVE FL 4
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33316-1139
Country : US
Telephone Number : 877-259-8728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 05/08/2024

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