Provider Demographics
NPI:1639997042
Name:APEX NURSE PRACTITIONER NETWORK LLC
Entity type:Organization
Organization Name:APEX NURSE PRACTITIONER NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-224-6465
Mailing Address - Street 1:4850 N STATE ROAD 7 STE 101G
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5807
Mailing Address - Country:US
Mailing Address - Phone:954-224-6465
Mailing Address - Fax:
Practice Address - Street 1:4850 N STATE ROAD 7 STE 101G
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33319-5807
Practice Address - Country:US
Practice Address - Phone:954-224-6465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty