Provider Demographics
NPI:1598589897
Name:MEGUEM, CARINE (RN)
Entity type:Individual
Prefix:
First Name:CARINE
Middle Name:
Last Name:MEGUEM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8860 NW 78TH CT APT 366
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-1454
Mailing Address - Country:US
Mailing Address - Phone:786-600-9912
Mailing Address - Fax:
Practice Address - Street 1:8860 NW 78TH CT APT 366
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-1454
Practice Address - Country:US
Practice Address - Phone:786-600-9912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9298641163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse