Ms Clenette Surpris, ARNP, FNP-BC is a
Nurse Practitioner - Family physician based in Miramar, Florida. Ms Clenette Surpris is licensed to practice in Florida (license number APRN11019501) and her current practice location is 10777 S Preserve Way Apt 308, Miramar, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 551-4400.
NPI number for Ms Clenette Surpris is 1902542194 and her current mailing address is 10777 S Preserve Way Apt 308, Miramar, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902542194.
Physician's Profile
| Full Name | Ms Clenette Surpris |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 10777 S Preserve Way Apt 308, Miramar, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902542194
- Provider Enumeration Date: 05/10/2022
- Last Update Date: 05/10/2022
Medical Identifiers
Medical identifiers for Ms Clenette Surpris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902542194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | APRN11019501 (Florida) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | APRN11019501 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11019501 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Clenette Surpris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Clenette Surpris, ARNP, FNP-BC
10777 S Preserve Way Apt 308,
Miramar, FL 33025-6561
Ph: (954) 551-4400 | Ms Clenette Surpris, ARNP, FNP-BC
10777 S Preserve Way Apt 308,
Miramar, FL 33025-6561
Ph: (954) 551-4400 |
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