Provider Demographics
NPI:1932287802
Name:CHIRAVALLE, PAULETTE C (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:PAULETTE
Middle Name:C
Last Name:CHIRAVALLE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5125 NW 123 AVENUE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076
Mailing Address - Country:US
Mailing Address - Phone:954-757-6734
Mailing Address - Fax:561-737-4185
Practice Address - Street 1:2301 WEST WOOLBRIGHT ROAD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6397
Practice Address - Country:US
Practice Address - Phone:561-737-4177
Practice Address - Fax:561-737-4185
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2026022363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner