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NPI Code Detail

MEDICARE: MYRTHA LOUIS MSN,APRN ,FNP-C

MEDICARE: MYRTHA LOUIS MSN,APRN ,FNP-C
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
1363LF0000XFamily Nurse PractitionerAPRN11028730FL

General Provider Information

NPI Number : 1427836212
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYRTHA LOUIS MSN,APRN ,FNP-C
Provider Business Mailing Address
First Line : 10111 FOREST HILL BLVD SUITE 320
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6142
Country : US
Telephone Number : 561-623-0801
Fax Number :
Provider Business Practice Location Address
First Line : 10111 FOREST HILL BLVD
Second Line : SUITE 320
City : WELLINGTON
State : FL
Zip : 33414
Country : US
Telephone Number : 561-623-0801
Fax Number : 561-469-1928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2023
Last Update Date : 04/29/2024

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