Provider Demographics
NPI:1982640983
Name:MESSINA, MARIE (CRNFA)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5124 SESAME ST
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3521
Mailing Address - Country:US
Mailing Address - Phone:561-626-5134
Mailing Address - Fax:561-626-3963
Practice Address - Street 1:5124 SESAME ST
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3521
Practice Address - Country:US
Practice Address - Phone:561-626-5134
Practice Address - Fax:561-626-3963
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1818332163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant