Provider Demographics
NPI:1841963584
Name:ANSION, MYRLANDE
Entity type:Individual
Prefix:MS
First Name:MYRLANDE
Middle Name:
Last Name:ANSION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4932
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33083-4932
Mailing Address - Country:US
Mailing Address - Phone:954-662-6501
Mailing Address - Fax:
Practice Address - Street 1:1701 NW 46TH AVE APT 212
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-4917
Practice Address - Country:US
Practice Address - Phone:954-662-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide