Provider Demographics
NPI:1629161807
Name:BERROUET, CHARLINE F (ARNP)
Entity Type:Individual
Prefix:
First Name:CHARLINE
Middle Name:F
Last Name:BERROUET
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 W HILLSBORO BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4395
Mailing Address - Country:US
Mailing Address - Phone:954-725-4141
Mailing Address - Fax:954-725-4318
Practice Address - Street 1:5300 W HILLSBORO BLVD STE 107
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4395
Practice Address - Country:US
Practice Address - Phone:954-725-4141
Practice Address - Fax:954-725-4318
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1366072363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily