Individual
FANETTE PROSPERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4740 N STATE ROAD 7 STE 201, LAUDERDALE LAKES, FL 33319-5839
(954) 777-1612
Mailing address
4740 N STATE ROAD 7, LAUDERDALE LAKES, FL 33319-5839
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11012098
FL
Other
Enumeration date
03/16/2021
Last updated
03/19/2021
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