Provider Demographics
NPI:1295275477
Name:PIERRE-LOUIS, YANIQUE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:YANIQUE
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:YANIQUE
Other - Middle Name:R
Other - Last Name:NOEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3708 BAHAMA DR
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-6512
Mailing Address - Country:US
Mailing Address - Phone:954-668-5012
Mailing Address - Fax:
Practice Address - Street 1:3708 BAHAMA DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-6512
Practice Address - Country:US
Practice Address - Phone:954-668-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9251702163WH0200X, 163WH1000X, 163W00000X
FL11002880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163W00000XNursing Service ProvidersRegistered Nurse