Provider Demographics
NPI:1316138944
Name:GHENT, ARLENE
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:GHENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 NW RUGBY DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3376
Mailing Address - Country:US
Mailing Address - Phone:772-873-4291
Mailing Address - Fax:
Practice Address - Street 1:5130 NW RUGBY DR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3376
Practice Address - Country:US
Practice Address - Phone:772-873-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN 5165497251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care