Individual
NERLANDE FECTILUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11200 SW 8TH ST, MIAMI, FL 33199-2516
(305) 303-4346
Mailing address
3601 W COMMERCIAL BLVD STE 5, FORT LAUDERDALE, FL 33309-3392
(954) 485-5666
(954) 484-1651
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9296925
FL
367500000X
Certified Registered Nurse Anesthetist
142643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142643
NBCRNA
—
Enumeration date
07/06/2021
Last updated
03/07/2023
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