Provider Demographics
NPI:1548762248
Name:JOSEPH, WERLYNE (RN)
Entity Type:Individual
Prefix:
First Name:WERLYNE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 GATEWAY BLVD STE 303-356
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8348
Mailing Address - Country:US
Mailing Address - Phone:561-806-8391
Mailing Address - Fax:
Practice Address - Street 1:1025 GATEWAY BLVD STE 303-356
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8348
Practice Address - Country:US
Practice Address - Phone:561-806-8391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5212823164W00000X
FL9467360163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse