Provider Demographics
NPI:1588037113
Name:EMMANUEL, CLAUSETTE (ARNP)
Entity type:Individual
Prefix:
First Name:CLAUSETTE
Middle Name:
Last Name:EMMANUEL
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8037 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3219
Mailing Address - Country:US
Mailing Address - Phone:954-338-5018
Mailing Address - Fax:
Practice Address - Street 1:8037 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3219
Practice Address - Country:US
Practice Address - Phone:954-338-5018
Practice Address - Fax:954-960-4073
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9254393363L00000X, 363LF0000X, 363LP2300X
FLARNP 9254393163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse