Provider Demographics
NPI:1538981790
Name:LANOUE, NADEGE (APRN PMHNP-BC MHA)
Entity type:Individual
Prefix:MISS
First Name:NADEGE
Middle Name:
Last Name:LANOUE
Suffix:
Gender:F
Credentials:APRN PMHNP-BC MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7158 NW 49TH CT
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-3445
Mailing Address - Country:US
Mailing Address - Phone:954-980-3333
Mailing Address - Fax:
Practice Address - Street 1:7501 WILES RD STE 105
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2063
Practice Address - Country:US
Practice Address - Phone:954-346-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9168769163WP0808X
FL11036930363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health