Healthcare Provider Details

I. General information

NPI: 1730027996
Provider Name (Legal Business Name): ERRETTE FENELON MERANTIER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E SAMPLE RD
DEERFIELD BEACH FL
33064-3502
US

IV. Provider business mailing address

1906 NW 80TH AVE
MARGATE FL
33063-6809
US

V. Phone/Fax

Practice location:
  • Phone: 954-786-6690
  • Fax:
Mailing address:
  • Phone: 754-244-0685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11046305
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: