MEDICARE: MISS MICHELLE ROSE-MARIE DESARMES APRN, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11000539	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1487154746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MICHELLE ROSE-MARIE DESARMES APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	6565 TAFT ST STE 406
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-4002
Country	:	US
Telephone Number	:	561-576-3074
Fax Number	:	561-557-7380

Provider Business Practice Location Address
First Line	:	6565 TAFT ST STE 406
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-4002
Country	:	US
Telephone Number	:	561-576-3074
Fax Number	:	561-557-7380

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

Provider Enumeration Date	:	02/13/2018
Last Update Date	:	01/19/2026

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