EMMANIE ANTENOR MAURICE, ARNP - NPI NUMBER 1437420221

Summary

Provider Name: EMMANIE ANTENOR MAURICE, ARNP

NPI Number: 1437420221

Clasification: Nurse Practitioner (363LF0000X)

Specialization: Family

Address:
3132 NW 122ND TER
SUNRISE, FL
ZIP 33323

Phone Number: (954) 748-9766



Detailed Information

Emmanie Antenor Maurice, ARNP is a family nurse practitioner in Sunrise, FL. The assigned NPI number for this provider is 1437420221 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

3132 NW 122ND TER
SUNRISE, FL
ZIP 33323-016
Phone: (954) 748-9766
Fax: (954) 414-8376

The enumeration date for this NPI number is 1/25/2012 and was last updated on 1/17/2014.

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 363LF0000X Nurse Practitioner Family ARNP1999662 FL Yes

NPI Record

No. Field Name Field Value
1 NPI 1437420221
2 Entity Type Code 1
3 Provider Last Name Legal Name MAURICE
4 Provider First Name EMMANIE
5 Provider Middle Name ANTENOR
6 Provider Credential Text ARNP
7 Provider First Line Business Practice Location Address 3132 NW 122ND TER
8 Provider Business Practice Location Address City Name SUNRISE
9 Provider Business Practice Location Address State Name FL
10 Provider Business Practice Location Address Postal Code 333233016
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9547489766
13 Provider Business Practice Location Address Fax Number 9544148376
14 Provider Enumeration Date 1/25/2012
15 Last Update Date 1/17/2014
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 363LF0000X
18 Provider License Number 1 ARNP1999662
19 Provider License Number State Code 1 FL
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor Y

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This page was last updated on: 3/11/2014
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.