Provider Demographics
NPI:1093370041
Name:BEAUBIEN-CORDON, MARIE FLORENCE (RN)
Entity type:Individual
Prefix:
First Name:MARIE FLORENCE
Middle Name:
Last Name:BEAUBIEN-CORDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 NE 29TH ST PH
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4638
Mailing Address - Country:US
Mailing Address - Phone:305-571-8507
Mailing Address - Fax:
Practice Address - Street 1:710 NE 29TH ST PH
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4638
Practice Address - Country:US
Practice Address - Phone:305-571-8507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9291639163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9291639OtherRN LICENSE