Provider Demographics
NPI:1285462523
Name:THONY, NADINE (ARNP)
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:THONY
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:NADINE
Other - Middle Name:ANTHONIA THONY
Other - Last Name:LEWIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2190 N 29TH AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-1714
Mailing Address - Country:US
Mailing Address - Phone:954-608-1563
Mailing Address - Fax:
Practice Address - Street 1:100 SE 15TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3985
Practice Address - Country:US
Practice Address - Phone:954-880-1133
Practice Address - Fax:954-318-3215
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily