Provider Demographics
NPI:1518441864
Name:GUERRIER, MOULINE (ARNP)
Entity Type:Individual
Prefix:
First Name:MOULINE
Middle Name:
Last Name:GUERRIER
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 1:6409 ADRIATIC WAY
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1088
Mailing Address - Country:US
Mailing Address - Phone:305-528-9920
Mailing Address - Fax:
Practice Address - Street 1:6409 ADRIATIC WAY
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-1088
Practice Address - Country:US
Practice Address - Phone:305-528-9920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-22
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9170418363L00000X
FLRN9170418163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC0400XNursing Service ProvidersRegistered NurseCase Management