Provider Demographics
NPI:1598341778
Name:BEBE, SERENA GARLANDE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SERENA
Middle Name:GARLANDE
Last Name:BEBE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:SERENA
Other - Middle Name:GARLANDE
Other - Last Name:GERMAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-BC
Mailing Address - Street 1:3111 N UNIVERSITY DR STE 308
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5058
Mailing Address - Country:US
Mailing Address - Phone:954-340-1050
Mailing Address - Fax:954-340-5275
Practice Address - Street 1:3111 N UNIVERSITY DR STE 308
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5058
Practice Address - Country:US
Practice Address - Phone:954-340-1050
Practice Address - Fax:954-340-5275
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11011417363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty