Provider Demographics
NPI:1073924122
Name:AURELIEN BUIE, LOUISE (ARNP)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:
Last Name:AURELIEN BUIE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11327 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8724
Mailing Address - Country:US
Mailing Address - Phone:561-425-9114
Mailing Address - Fax:561-449-2978
Practice Address - Street 1:11327 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8724
Practice Address - Country:US
Practice Address - Phone:561-425-9114
Practice Address - Fax:561-449-2978
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-12
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9206748363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013600200Medicaid