Healthcare Provider Details

I. General information

NPI: 1699290882
Provider Name (Legal Business Name): CLAIRE LLANURA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 06/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 QUARTZ TER
WEST PALM BEACH FL
33413
US

IV. Provider business mailing address

944 S MILITARY TRL STE A
WEST PALM BEACH FL
33415-3910
US

V. Phone/Fax

Practice location:
  • Phone: 561-827-6657
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF08170225
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: