Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9205797 | FL |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | ARNP9205797 | FL |
NPI | 1013443159 |
---|---|
Provider Name | Marie Remy |
First Address | Port St Lucie, FL 34952-7168 |
Second Address | Port St Lucie, FL 34983-2929 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2017 |
Last Update Date | 08/07/2021 |