Individual provider · Type 1 NPI
Phara Desravines
Family Nurse Practitioner · Pembroke Pines, FL
NPI number
1467209510
Active
Practice location
1154 NW 100th Ave
Pembroke Pines, FL 33024-4376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 354035 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 354035 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467209510
Phara Desravines's National Provider Identifier is 1467209510, issued on May 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jul 17, 2024.