Provider Demographics
NPI:1174207450
Name:EARTH SENT, LLC
Entity type:Organization
Organization Name:EARTH SENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENIS-THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-607-9234
Mailing Address - Street 1:1301 NW 89TH DR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6606
Mailing Address - Country:US
Mailing Address - Phone:954-866-1018
Mailing Address - Fax:
Practice Address - Street 1:1301 NW 89TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6606
Practice Address - Country:US
Practice Address - Phone:954-866-1018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty