Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11008779 | FL |
NPI | 1003362278 |
---|---|
Provider Name | Carine Pierre |
First Address | Riverview, FL 33579-3939 |
Second Address | Pompano Beach, FL 33069-1031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2016 |
Last Update Date | 27/11/2020 |