Individual provider · Type 1 NPI

Liseberthe Theodore, ARNP

Family Nurse Practitioner · Miami, FL

NPI number 1740499870 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1005

Mailing address

PO Box 822433
South Florida, FL 33082-2433

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2527672 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1740499870

Liseberthe Theodore, ARNP's National Provider Identifier is 1740499870, issued on May 22, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami, FL. The record was last updated on Jul 8, 2007.