Provider Demographics
NPI:1548602063
Name:SENATUS, MARTINE (APRN)
Entity Type:Individual
Prefix:MS
First Name:MARTINE
Middle Name:
Last Name:SENATUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2393 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7628
Mailing Address - Country:US
Mailing Address - Phone:561-909-8555
Mailing Address - Fax:747-220-0351
Practice Address - Street 1:3600 FOREST HILL BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5617
Practice Address - Country:US
Practice Address - Phone:561-909-8555
Practice Address - Fax:747-220-0351
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9274128363LF0000X
FLAPRN9274128363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9274128OtherPROFESSIONAL LICENSE
FLAPRN9274128OtherLICENSURE
FL102753900Medicaid