Provider Demographics
NPI:1043072465
Name:EUGENE, KERLANDE (APRN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:KERLANDE
Middle Name:
Last Name:EUGENE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MS
Other - First Name:KERLANDE
Other - Middle Name:
Other - Last Name:EUGENE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:811 LYONS RD APT 20208
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33063-6728
Mailing Address - Country:US
Mailing Address - Phone:954-218-1783
Mailing Address - Fax:
Practice Address - Street 1:11501 N MILITARY TRL UNIT 20208
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6507
Practice Address - Country:US
Practice Address - Phone:954-218-1783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030568363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily