Provider Demographics
NPI:1700410651
Name:PIERRE-LOUIS, MARIE CLAIRE (NP)
Entity Type:Individual
Prefix:
First Name:MARIE CLAIRE
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6921 SW 27TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3754
Mailing Address - Country:US
Mailing Address - Phone:954-534-4650
Mailing Address - Fax:
Practice Address - Street 1:18425 NW 2ND AVE PH 5
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4524
Practice Address - Country:US
Practice Address - Phone:800-434-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-01
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily