Provider Demographics
NPI:1316911258
Name:GIRARD, PATRICIA S (ARNP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:S
Last Name:GIRARD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16942 WATERBEND DR
Mailing Address - Street 2:APT. 260
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5831
Mailing Address - Country:US
Mailing Address - Phone:561-203-7866
Mailing Address - Fax:
Practice Address - Street 1:4847 FRED GLADSTONE DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8023
Practice Address - Country:US
Practice Address - Phone:561-687-5762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1619062363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology