Provider Demographics
NPI:1346587649
Name:BEHARIE, GENEVIEVE VANESSA (ARNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:VANESSA
Last Name:BEHARIE
Suffix:
Gender:
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16155 NW 64TH AVE
Mailing Address - Street 2:#230
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-7518
Mailing Address - Country:US
Mailing Address - Phone:917-854-0646
Mailing Address - Fax:786-359-4971
Practice Address - Street 1:16155 NW 64TH AVE
Practice Address - Street 2:#230
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-7518
Practice Address - Country:US
Practice Address - Phone:917-854-0646
Practice Address - Fax:786-359-4971
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9316459363L00000X
FL9316459363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner