Healthcare Provider Details

I. General information

NPI: 1487968954
Provider Name (Legal Business Name): MARIE H. JEAN-LOUIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12TH AVE
MIAMI FL
33136-1002
US

IV. Provider business mailing address

140 NE 173RD ST
NORTH MIAMI BEACH FL
33162-1735
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-1778
  • Fax:
Mailing address:
  • Phone: 305-467-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number3318032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: