Healthcare Provider Details

I. General information

NPI: 1023927571
Provider Name (Legal Business Name): MAGUENA CLAIRIN PIERRE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2808 53RD ST W
LEHIGH ACRES FL
33971-5779
US

IV. Provider business mailing address

2808 53RD ST W
LEHIGH ACRES FL
33971-5779
US

V. Phone/Fax

Practice location:
  • Phone: 239-878-4646
  • Fax:
Mailing address:
  • Phone: 239-878-4646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number840
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: