Provider Demographics
NPI:1003510348
Name:LAIRET, NOEMI D (APRN)
Entity Type:Individual
Prefix:MRS
First Name:NOEMI
Middle Name:D
Last Name:LAIRET
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NOEMI
Other - Middle Name:D
Other - Last Name:LAIRET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:1341 SEAGRAPE CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2726
Mailing Address - Country:US
Mailing Address - Phone:754-317-2731
Mailing Address - Fax:
Practice Address - Street 1:1341 SEAGRAPE CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-2726
Practice Address - Country:US
Practice Address - Phone:754-317-2731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024463363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care