NPI 1013376276

Marie Lise Theard

Practitioner Licensed Practical Nurse Miami, FL

Practice location

Address: 10641 SW 126th St, Miami, FL 33176-4750
Phone: (305) 496-3154

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence PN5151268 (FL)

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Registry record

NPI: 1013376276
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2016
Record last updated: 16 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.