Provider Demographics
NPI:1588245245
Name:ORLEANS, NINOUCHEKA
Entity type:Individual
Prefix:
First Name:NINOUCHEKA
Middle Name:
Last Name:ORLEANS
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 1:1911 HARRISON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-5017
Mailing Address - Country:US
Mailing Address - Phone:786-883-0010
Mailing Address - Fax:786-883-0013
Practice Address - Street 1:1911 HARRISON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-5017
Practice Address - Country:US
Practice Address - Phone:786-883-0010
Practice Address - Fax:786-880-0013
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11026615363LF0000X, 363L00000X
NJ0363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1117Other1013
NJ1117Other1117