Provider Demographics
NPI:1164019428
Name:REMY, MARIEANN (RN)
Entity Type:Individual
Prefix:
First Name:MARIEANN
Middle Name:
Last Name:REMY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FAWKLAND CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8118
Mailing Address - Country:US
Mailing Address - Phone:954-701-3815
Mailing Address - Fax:
Practice Address - Street 1:14 FAWKLAND CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8118
Practice Address - Country:US
Practice Address - Phone:954-701-3815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN935618163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic