Provider Demographics
NPI:1285243162
Name:DUPRENA, ROBINE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:ROBINE
Middle Name:
Last Name:DUPRENA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 W CYPRESS CREEK RD STE 201E
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1760
Mailing Address - Country:US
Mailing Address - Phone:954-235-0380
Mailing Address - Fax:
Practice Address - Street 1:2933 W CYPRESS CREEK RD STE 201E
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1760
Practice Address - Country:US
Practice Address - Phone:954-235-0380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9483713163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health