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NPI Code Detail

MEDICARE: MRS. PATRICIA ANN POIRIER RN, MSN, ARNP

MEDICARE:  MRS. PATRICIA ANN POIRIER  RN, MSN, 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
1363LP0200XPediatric Nurse Practitioner678592FL

General Provider Information

NPI Number : 1922233931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANN POIRIER RN, MSN, ARNP
Provider Business Mailing Address
First Line : 11044 NW 21ST PL
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-5745
Country : US
Telephone Number : 954-755-0256
Fax Number : 954-575-0722
Provider Business Practice Location Address
First Line : 7451 WILES RD
Second Line : SUITE 205
City : CORAL SPRINGS
State : FL
Zip : 33067-2040
Country : US
Telephone Number : 954-345-6838
Fax Number : 954-345-6848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2009
Last Update Date : 05/19/2009

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