NPI 1154529089

Andrise Antoine

Practitioner Nurse's Aide Port St Lucie, FL

Practice location

Address: 518 NW Kilpatrick Ave, Port St Lucie, FL 34983-8719
Phone: (772) 672-5238

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence CNA 108781 (FL)

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Registry record

NPI: 1154529089
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2007
Record last updated: 8 Jul 2007

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.