MEDICARE: NERLINE GUERRIERO JEAN BAPTISTE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11012535	FL

General Provider Information

NPI Number	:	1194458125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NERLINE GUERRIERO JEAN BAPTISTE APRN

Provider Business Mailing Address
First Line	:	16171 SW 23RD ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4400
Country	:	US
Telephone Number	:	954-404-2112
Fax Number	:

Provider Business Practice Location Address
First Line	:	20451 NW 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33169-2539
Country	:	US
Telephone Number	:	786-520-4064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	07/07/2022

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