MEDICARE: NADEGE INNOCENT TELCY ARNP

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	2017028726	FL
2	363LF0000X	Family Nurse Practitioner	APRN9304026	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1598266777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADEGE INNOCENT TELCY ARNP

Provider Business Mailing Address
First Line	:	237 LAS PALMAS ST
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	237 LAS PALMAS ST
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1322
Country	:	US
Telephone Number	:	561-779-0790
Fax Number	:

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

Provider Enumeration Date	:	02/23/2018
Last Update Date	:	11/15/2021

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