DENISE QUALLO


Address: 2261 Ne 36 St #2, Lighthouse Point, FL 33064
Phone: 9547869552

DENISE QUALLO (NPI# 1528477411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528477411
Entity Type Individual
Full Name DENISE QUALLO
Credential ARNP
Practice Address 2261 Ne 36 St #2
Lighthouse Point
FL 33064
Practice Telephone 9547869552
Practice Fax Number 9547869557
Mailing Telephone 9547869552
Mailing Fax Number 9547869557
Enumeration Date 2014-08-05
Last Update Date 2014-08-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 9220628 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2261 NE 36 ST #2
City LIGHTHOUSE POINT
State FL
Zip Code 33064

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366991309 Teresa A. Focaracci, Arnp, Pa Nurse Practitioner 2141 Ne 29th St, Lighthouse Point, FL 33064-7622 2016-10-03
1053891507 Catrice Lashay Ackerman Nurse Practitioner 3896 N Federal Hwy, Lighthouse Point, FL 33064-6612 2018-08-15

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Competitor

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City LIGHTHOUSE POINT
Zip Code 33064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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