Provider Demographics
NPI:1619470895
Name:PIERRE, MERLINE (RN)
Entity Type:Individual
Prefix:
First Name:MERLINE
Middle Name:
Last Name:PIERRE
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 1:13475 63RD LN N
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1953
Mailing Address - Country:US
Mailing Address - Phone:561-667-3663
Mailing Address - Fax:
Practice Address - Street 1:13475 63RD LANE NORTH
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33412
Practice Address - Country:US
Practice Address - Phone:561-667-3663
Practice Address - Fax:561-904-8682
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9357603163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse