MEDICARE: KWENER SIRENORD

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	11044826	FL

General Provider Information

NPI Number	:	1891482303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KWENER SIRENORD

Provider Business Mailing Address
First Line	:	1045 NW 125TH ST
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33168-6435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 NW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1005
Country	:	US
Telephone Number	:	305-585-1111
Fax Number	:

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

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	01/27/2026

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Directions to “ KWENER SIRENORD ” Practice Location

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