Provider Demographics
NPI:1427836212
Name:LOUIS, MYRTHA (MSN,APRN ,FNP-C)
Entity type:Individual
Prefix:
First Name:MYRTHA
Middle Name:
Last Name:LOUIS
Suffix:
Gender:F
Credentials:MSN,APRN ,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:10111 FOREST HILL BLVD SUITE 320
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6142
Mailing Address - Country:US
Mailing Address - Phone:561-623-0801
Mailing Address - Fax:
Practice Address - Street 1:10111 FOREST HILL BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-623-0801
Practice Address - Fax:561-469-1928
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily