Healthcare Provider Details

I. General information

NPI: 1992637425
Provider Name (Legal Business Name): CHRISMINE LOUIS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 ASBURY WAY
BOYNTON BEACH FL
33426-5521
US

IV. Provider business mailing address

1317 ASBURY WAY
BOYNTON BEACH FL
33426-5521
US

V. Phone/Fax

Practice location:
  • Phone: 561-860-1674
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047511
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: