Individual provider · Type 1 NPI
Renise Frederic
Family Nurse Practitioner · Miramar, FL
NPI number
1679170427
Active
Practice location
11750 Canal St Unit 220
Miramar, FL 33025-7947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11009118 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1679170427
Renise Frederic's National Provider Identifier is 1679170427, issued on Oct 5, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miramar, FL. The record was last updated on Oct 21, 2020.