Healthcare Provider Details

I. General information

NPI: 1437518933
Provider Name (Legal Business Name): ESTHERLINE EXUME-NOEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTHERLINE EXUME-NOEL ARNP

II. Dates (important events)

Enumeration Date: 02/12/2016
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 W WARREN AVE
LONGWOOD FL
32750-4004
US

IV. Provider business mailing address

665 W WARREN AVE
LONGWOOD FL
32750-4004
US

V. Phone/Fax

Practice location:
  • Phone: 561-275-1155
  • Fax: 561-275-1156
Mailing address:
  • Phone: 800-614-4124
  • Fax: 888-217-4124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9290156
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9290156
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: