Individual
MRS. MARIE MICHELLE MOREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5190 NW 167TH ST, MIAMI LAKES, FL 33014-6328
(305) 333-4915
Mailing address
5190 NW 167TH ST STE 113, MIAMI LAKES, FL 33014-6329
(305) 333-4915
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11016470
FL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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