Individual
KETENIE NICOLEAU PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1410 SW 97TH TER, PEMBROKE PINES, FL 33025-3692
(786) 267-4663
Mailing address
1410 SW 97TH TER, PEMBROKE PINES, FL 33025-3692
(786) 267-4663
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11016394
FL
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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