Individual
MISS CHANTELLE M. MOUTTET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3100 SW 62ND AVE, DEPARTMENT OF CARDIOVASCULAR SURGERY, MIAMI, FL 33155-3009
(305) 663-8405
Mailing address
13748 SW 118TH TER, MIAMI, FL 33186-5740
(305) 380-9140
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3305162
FL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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