Basic Information
Provider Information
NPI: 1528509585
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIERRE-JOACHIM
FirstName: MURIELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18420 NW 9TH ST
Address2:  
City: PEMBROKE PINES
State: FL
PostalCode: 330293603
CountryCode: US
TelephoneNumber: 9542057953
FaxNumber:  
Practice Location
Address1: 8251 W BROWARD BLVD STE 103
Address2:  
City: PLANTATION
State: FL
PostalCode: 333242703
CountryCode: US
TelephoneNumber: 9542557310
FaxNumber: 9542557311
Other Information
ProviderEnumerationDate: 03/10/2017
LastUpdateDate: 03/27/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN9173616FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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