HOMEBOUND PATIENT MEDICAL PROVIDER NPI 1629725353

NPI Information

  • NPI: 1629725353
  • Provider Name: HOMEBOUND PATIENT MEDICAL PROVIDER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4706 NW 99TH AVE
    SUNRISE, FL
    ZIP 33351
  • Phone: (954) 687-9410

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NPI Details

HOMEBOUND PATIENT MEDICAL PROVIDER is a family nurse practitioner in Sunrise, FL. HOMEBOUND PATIENT MEDICAL PROVIDER NPI is 1629725353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4706 NW 99TH AVE
SUNRISE, FL
ZIP 33351-734
Phone: (954) 687-9410
Fax: (954) 678-2608

The provider's authorized official is Darlene Valcin .
The authorized official title is Arnp/family Nurse Practitioner and has the following contact phone number (954) 687-9410.

The enumeration date for this NPI number is 3/2/2022 and was last updated on 3/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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