Provider Demographics
NPI:1881115467
Name:LOUIHIS, DELOURDES (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DELOURDES
Middle Name:
Last Name:LOUIHIS
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 SW 101ST TER APT 211
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-5048
Mailing Address - Country:US
Mailing Address - Phone:305-600-7401
Mailing Address - Fax:
Practice Address - Street 1:1265 SW 101ST TER
Practice Address - Street 2:APT. 211
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-3302
Practice Address - Country:US
Practice Address - Phone:305-600-7401
Practice Address - Fax:305-600-7401
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-04
Last Update Date:2017-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9457217163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty