Provider Demographics
NPI:1437518933
Name:EXUME-NOEL, ESTHERLINE (ARNP)
Entity Type:Individual
Prefix:
First Name:ESTHERLINE
Middle Name:
Last Name:EXUME-NOEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ESTHERLINE
Other - Middle Name:
Other - Last Name:EXUME-NOEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:665 W WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-4004
Mailing Address - Country:US
Mailing Address - Phone:800-614-4124
Mailing Address - Fax:888-217-4124
Practice Address - Street 1:665 W WARREN AVE
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4004
Practice Address - Country:US
Practice Address - Phone:561-275-1155
Practice Address - Fax:561-275-1156
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-12
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9290156363LF0000X
FLAPRN9290156363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health