MEDICARE: REYNALD JEAN 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	363LG0600X	Gerontology Nurse Practitioner	9281306	FL
2	163W00000X	Registered Nurse	RN9281306	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	:	1689049041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REYNALD JEAN ARNP

Provider Business Mailing Address
First Line	:	15281 SW 51ST ST
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-3608
Country	:	US
Telephone Number	:	954-662-5286
Fax Number	:

Provider Business Practice Location Address
First Line	:	3041 SW 194TH TER
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5815
Country	:	US
Telephone Number	:	954-662-5286
Fax Number	:

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

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	03/11/2026

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