Provider Demographics
NPI:1285149179
Name:NONELLE, DENISE LYNN (APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LYNN
Last Name:NONELLE
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5116 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7116
Mailing Address - Country:US
Mailing Address - Phone:786-556-9944
Mailing Address - Fax:
Practice Address - Street 1:1930 HARRISON ST STE 404
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020
Practice Address - Country:US
Practice Address - Phone:786-780-1188
Practice Address - Fax:786-780-1176
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2018-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9320798207RC0000X
FLARNP9320798363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease