Provider Demographics
NPI:1457028169
Name:SENAT DESIR, MARIE ROSETTE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ROSETTE
Last Name:SENAT DESIR
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 1:707 E MINNEHAHA AVE
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-3530
Mailing Address - Country:US
Mailing Address - Phone:407-668-6123
Mailing Address - Fax:
Practice Address - Street 1:707 E MINNEHAHA AVE
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3530
Practice Address - Country:US
Practice Address - Phone:407-668-6123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11018476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily