MS. PATRICIA C PEREZ, ARNP - NPI NUMBER 1033185616

Summary

Provider Name: MS. PATRICIA C PEREZ, ARNP

NPI Number: 1033185616

Clasification: Nurse Practitioner (363L00000X)

Organization: SHAHRAD MABOURAKH MD PA

Address:
6463 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33319

Phone Number: (954) 720-1414



Detailed Information

MS. Patricia C Perez, ARNP is a nurse practitioner in Tamarac, FL with 20 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. The assigned NPI number for this provider is 1033185616 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

6463 W COMMERCIAL BLVD
TAMARAC, FL
ZIP 33319-110
Phone: (954) 720-1414
Fax: (954) 720-4727

The enumeration date for this NPI number is 2/24/2006 and was last updated on 4/22/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363L00000X Nurse Practitioner ARNP1188522 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 Y2811Y MEDICARE PIN FL
2 S72803 MEDICARE UPIN

NPI Record

No. Field Name Field Value
1 NPI 1033185616
2 Entity Type Code 1
3 Provider Last Name Legal Name PEREZ
4 Provider First Name PATRICIA
5 Provider Middle Name C
6 Provider Name Prefix Text MS.
7 Provider Credential Text ARNP
8 Provider First Line Business Practice Location Address 6463 W COMMERCIAL BLVD
9 Provider Business Practice Location Address City Name TAMARAC
10 Provider Business Practice Location Address State Name FL
11 Provider Business Practice Location Address Postal Code 333192110
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 9547201414
14 Provider Business Practice Location Address Fax Number 9547204727
15 Provider Enumeration Date 2/24/2006
16 Last Update Date 4/22/2013
17 Provider Gender Code F
18 Healthcare Provider Taxonomy Code 1 363L00000X
19 Provider License Number 1 ARNP1188522
20 Provider License Number State Code 1 FL
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 Y2811Y
23 Other Provider Identifier Type Code 1 08
24 Other Provider Identifier State 1 FL
25 Other Provider Identifier 2 S72803
26 Other Provider Identifier Type Code 2 02
27 Is Sole Proprietor Y

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.