Provider Demographics
NPI:1568236412
Name:CANCEL, LIANNE AMARILIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:LIANNE
Middle Name:AMARILIE
Last Name:CANCEL
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 1:11775 SUNSAIL AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-3008
Mailing Address - Country:US
Mailing Address - Phone:321-663-5261
Mailing Address - Fax:
Practice Address - Street 1:11775 SUNSAIL AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-3008
Practice Address - Country:US
Practice Address - Phone:321-663-5261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach