Individual
EMMANUELLE CHASSAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11948 WASHINGTON ST, PEMBROKE PINES, FL 33025-5752
(954) 770-7059
Mailing address
12656 SW 54TH ST, MIRAMAR, FL 33027-5478
(954) 770-7059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9211018
FL
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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