Green, Miyvetteshaune Marquisette

Green, Miyvetteshaune Marquisette is an individual health care provider with primary practice located at 3020 Sw 1St Street , Ft Lauderdale FL 33312. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Green, Miyvetteshaune Marquisette can be contacted via phone (954) 584-5811.

Contact Information

Primary practice address
3020 Sw 1St Street Ft Lauderdale FL 33312
Phone: (954) 584-5811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3314562 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3314562 Florida

Profile Details

NPI number 1609080746
LBN Legal business name Green, Miyvetteshaune Marquisette
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jan 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers