Provider Demographics
NPI:1982336426
Name:NOREUS, CARLEEN A (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:CARLEEN
Middle Name:A
Last Name:NOREUS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 FARMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2630
Mailing Address - Country:US
Mailing Address - Phone:954-446-4141
Mailing Address - Fax:
Practice Address - Street 1:8320 W SUNRISE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5432
Practice Address - Country:US
Practice Address - Phone:954-446-4141
Practice Address - Fax:954-476-9098
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9194395163W00000X
FLAPRN11020431363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse