Provider Demographics
NPI:1225410574
Name:LAURENTE, JULIEANNE (CRNA)
Entity type:Individual
Prefix:
First Name:JULIEANNE
Middle Name:
Last Name:LAURENTE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16766 SW 36TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4553
Mailing Address - Country:US
Mailing Address - Phone:954-812-0117
Mailing Address - Fax:
Practice Address - Street 1:11011 SHERIDAN ST STE 106
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1501
Practice Address - Country:US
Practice Address - Phone:954-435-0101
Practice Address - Fax:954-435-0125
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039185367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered