Organization
HEART 623 HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDLYNE JOSEPH ARNP (PMHNP)
(954) 480-3072
Entity
Organization
Contact information
Practice address
14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
(954) 480-3072
Mailing address
4846 N UNIVERSITY DR STE 612, LAUDERHILL, FL 33351-4510
(954) 480-3072
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
03/24/2025
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