Doctor Name: | MARIE BLEUETTE ZEPHIRIN |
NPI Number: | 1245251677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN-ARNP |
License Number: | 1868802 |
Business Practice Address: | 6595 Nw 36th St Suite 218 Virginia Gardens, FL - 331666979 |
Business Phone Number: | 3058717010 |
Business Fax Number: | 3058717011 |
Mailing Address: | 19234 N. W. 12 Court, House PEMBROKE PINES |
State: | FL |
Postal Code: | 33029 |
Phone Number: | 9544315967 |
Fax Number: | 9544315967 |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1868802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |