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NPI Code Detail

MEDICARE: JEANETTE VINOV STEINBERG APRN

MEDICARE:   JEANETTE  VINOV STEINBERG  APRN
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistARNP823712FL
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN823712FL
3364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistARNP823712FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2U2244ZOTHERFLMEDICARE

Other Identifiers

General Provider Information

NPI Number : 1528239688
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANETTE VINOV STEINBERG APRN
Provider Business Mailing Address
First Line : 4740 N STATE ROAD 7 STE 201
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5839
Country : US
Telephone Number : 954-486-4005
Fax Number : 954-497-3857
Provider Business Practice Location Address
First Line : 1957 JACKSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5021
Country : US
Telephone Number : 954-921-2600
Fax Number : 954-497-3857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2008
Last Update Date : 05/22/2019

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Directions to “ JEANETTE VINOV STEINBERG APRN” Practice Location

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