Individual
SHERLY LABORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
54 ANDORA CT, KISSIMMEE, FL 34758-3910
(140) 361-8552
Mailing address
54 ANDORA CT, KISSIMMEE, FL 34758-3910
(140) 736-1855
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9426825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000000
N/A
FL
01
—
00000000000000000000
N/A
FL
Enumeration date
01/14/2021
Last updated
01/14/2021
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