Provider Demographics
NPI:1295222073
Name:BRIZEUS-PIERRE, ERLA MYTHO (ARNP)
Entity Type:Individual
Prefix:
First Name:ERLA
Middle Name:MYTHO
Last Name:BRIZEUS-PIERRE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ERLA
Other - Middle Name:MYTHO
Other - Last Name:BRIZEUS-PIERRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:6337 COUNTRY FAIR CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-2823
Mailing Address - Country:US
Mailing Address - Phone:561-703-9203
Mailing Address - Fax:
Practice Address - Street 1:734 BELVEDERE RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-1108
Practice Address - Country:US
Practice Address - Phone:561-703-9203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9313074207R00000X
FLAPRN9313074363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine