Provider Demographics
NPI:1487131785
Name:PEREIRA, CLARE M (ARNP)
Entity type:Individual
Prefix:MS
First Name:CLARE
Middle Name:M
Last Name:PEREIRA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1819
Mailing Address - Country:US
Mailing Address - Phone:954-431-7676
Mailing Address - Fax:888-538-2226
Practice Address - Street 1:4420 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-1819
Practice Address - Country:US
Practice Address - Phone:954-431-7676
Practice Address - Fax:888-538-2226
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1896652363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16394777789OtherNPI