Individual provider · NPI-1

Lorriel Sirena Blaise, NP-C

Nurse Practitioner, Family · Ocoee, FL

NPI number1396914784
StatusActive
Last updated in NPPESJan 2, 2014

Details

NPI
1396914784
Entity type
Individual (NPI-1)
Name
Mrs. Lorriel Sirena Blaise
Credential
NP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 29, 2008
Last updated
Jan 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyARNP 9179953FLYes

Practice location

2723 Maguire Rd
Ocoee, FL 34761-4797

Phone 407-877-7003

Mailing address

2723 Maguire Rd
Ocoee, FL 34761-4797

Phone 407-877-7003

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