Healthcare Provider Details

I. General information

NPI: 1649763004
Provider Name (Legal Business Name): ANN-MARIE ELIZABETH PRYCE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 06/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8942 SW 19TH ST
MIRAMAR FL
33025
US

IV. Provider business mailing address

8942 SW 19TH ST
MIRAMAR FL
33025-7613
US

V. Phone/Fax

Practice location:
  • Phone: 954-205-3652
  • Fax:
Mailing address:
  • Phone: 954-205-3652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3043092
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: