Healthcare Provider Details

I. General information

NPI: 1912358078
Provider Name (Legal Business Name): JOAN MARIE FIUMARA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 N 19TH AVE STE 201
PHOENIX AZ
85021-7976
US

IV. Provider business mailing address

5387 PINE TREE DR
DELRAY BEACH FL
33484-1130
US

V. Phone/Fax

Practice location:
  • Phone: 602-237-6328
  • Fax:
Mailing address:
  • Phone: 561-573-6183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9325440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: