MEDICARE: ROSENA PETIT-FRERE CRNA

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	367500000X	Certified Registered Nurse Anesthetist	L6-0A10911	DE
2	367500000X	Certified Registered Nurse Anesthetist	APRN11005631	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

General Provider Information

NPI Number	:	1508403627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSENA PETIT-FRERE CRNA

Provider Business Mailing Address
First Line	:	3755 CORAL TREE CIR
Second Line	:
City	:	COCONUT CREEK
State	:	FL
Zip	:	33073-4424
Country	:	US
Telephone Number	:	954-245-5342
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 W SUNRISE BLVD
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-4113
Country	:	US
Telephone Number	:	954-939-6505
Fax Number	:

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

Provider Enumeration Date	:	12/09/2019
Last Update Date	:	12/03/2025

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