Provider Demographics
NPI:1710185566
Name:NERETTE, STEPHANIE MUNIZ (ARNP)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MUNIZ
Last Name:NERETTE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 EXECUTIVE PARK DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3652
Mailing Address - Country:US
Mailing Address - Phone:954-384-8989
Mailing Address - Fax:954-384-8987
Practice Address - Street 1:2665 EXECUTIVE PARK DR
Practice Address - Street 2:SUITE 3
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3652
Practice Address - Country:US
Practice Address - Phone:954-384-8989
Practice Address - Fax:954-384-8987
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2753042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily