MEDICARE: MARCCENE SAINT HILAIRE

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	95021801	CA
2	363LF0000X	Family Nurse Practitioner	1014613	FL
3	363LF0000X	Family Nurse Practitioner	1180039	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1180039	TX
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95021801	CA

General Provider Information

NPI Number	:	1336816313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCCENE SAINT HILAIRE

Provider Business Mailing Address
First Line	:	4933 NW 48TH TER
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-3640
Country	:	US
Telephone Number	:	954-842-9415
Fax Number	:

Provider Business Practice Location Address
First Line	:	4933 NW 48TH TER
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-3640
Country	:	US
Telephone Number	:	954-842-9415
Fax Number	:

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

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	06/22/2026

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Directions to “ MARCCENE SAINT HILAIRE ” Practice Location

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