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NPI Code Detail

MEDICARE: CARLINE SEVERE APRN

MEDICARE:   CARLINE  SEVERE  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
1208M00000XHospitalist Physician11002647FL
2363L00000XNurse Practitioner11002647FL
3163WG0000XGeneral Practice Registered Nurse11002647FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588223275
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLINE SEVERE APRN
Provider Business Mailing Address
First Line : 10122 STONEHENGE CIR APT 606
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33437-3544
Country : US
Telephone Number : 954-756-3100
Fax Number :
Provider Business Practice Location Address
First Line : 11211 S MILITARY TRL APT 3912
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-7233
Country : US
Telephone Number : 954-756-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2019
Last Update Date : 11/18/2022

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Directions to “ CARLINE SEVERE APRN” Practice Location

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