Provider Demographics
NPI:1952833444
Name:ARTHUR, HARRIETTE (LPN)
Entity Type:Individual
Prefix:
First Name:HARRIETTE
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:HARRIETTE
Other - Middle Name:
Other - Last Name:WILKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12237 SW 195TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6531
Mailing Address - Country:US
Mailing Address - Phone:305-431-7891
Mailing Address - Fax:305-252-4837
Practice Address - Street 1:10300 SW 216TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1003
Practice Address - Country:US
Practice Address - Phone:305-253-5100
Practice Address - Fax:305-254-4971
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN864331164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse