Provider Demographics
NPI:1346975588
Name:HILAIRE, ROSE (APRN)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:HILAIRE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:HILAIRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1625 SE 3RD AVE STE 721
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-2521
Mailing Address - Country:US
Mailing Address - Phone:954-831-2763
Mailing Address - Fax:954-712-3970
Practice Address - Street 1:1625 SE 3RD AVE STE 721
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-2521
Practice Address - Country:US
Practice Address - Phone:954-831-2763
Practice Address - Fax:954-712-3970
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11017658363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner