Healthcare Provider Details

I. General information

NPI: 1912481151
Provider Name (Legal Business Name): JOHANNE FIEVRE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 11TH CT STE 102
VERO BEACH FL
32960-5012
US

IV. Provider business mailing address

3450 11TH CT STE 102
VERO BEACH FL
32960-5012
US

V. Phone/Fax

Practice location:
  • Phone: 772-299-5311
  • Fax:
Mailing address:
  • Phone: 772-299-5311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF348563
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9249956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: