Healthcare Provider Details

I. General information

NPI: 1013234293
Provider Name (Legal Business Name): ALBERTA MARIA MESSER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALBERTA MARIA LONGONE MESSER ARNP

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 04/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 HOLLYWOOD BLVD
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

PO BOX 85 22 ISLAND VIEW DRIVE
WAYNE ME
04284-0085
US

V. Phone/Fax

Practice location:
  • Phone: 954-649-0436
  • Fax:
Mailing address:
  • Phone: 954-649-0436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2768892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: