Healthcare Provider Details

I. General information

NPI: 1457633018
Provider Name (Legal Business Name): LORIANNE ENGLISH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2011
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 SE 9TH ST SUITE 103
FORT LAUDERDALE FL
33316-1113
US

IV. Provider business mailing address

407 SE 9TH ST SUITE 103
FORT LAUDERDALE FL
33316-1113
US

V. Phone/Fax

Practice location:
  • Phone: 954-463-0112
  • Fax: 954-463-0117
Mailing address:
  • Phone: 954-463-0112
  • Fax: 954-463-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9204070
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: