MEDICARE: APEX NURSE PRACTITIONER NETWORK LLC

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	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1639997042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX NURSE PRACTITIONER NETWORK LLC

Provider Business Mailing Address
First Line	:	4850 N STATE ROAD 7 STE 101G
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5807
Country	:	US
Telephone Number	:	954-224-6465
Fax Number	:

Provider Business Practice Location Address
First Line	:	4850 N STATE ROAD 7 STE 101G
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5807
Country	:	US
Telephone Number	:	954-224-6465
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MICHELLE B BARRETT
Credential	:	APRN
Telephone Number	:	954-224-6465

Provider Enumeration Date	:	10/03/2024
Last Update Date	:	10/03/2024

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