Healthcare Provider Details

I. General information

NPI: 1407815848
Provider Name (Legal Business Name): LANI H. TERRY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S ANDREWS AVE
FT LAUDERDALE FL
33316-3430
US

IV. Provider business mailing address

2000 S. ANDREWS AVE
FT. LAUDERDALE FL
33316
US

V. Phone/Fax

Practice location:
  • Phone: 954-653-2196
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberARNP9204309
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP9204309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: