Provider Demographics
NPI:1518165711
Name:SAINT-FLEUR, LIZIANA RENE (RN, BSN)
Entity type:Individual
Prefix:
First Name:LIZIANA
Middle Name:RENE
Last Name:SAINT-FLEUR
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2949 SW STERLING ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-3267
Mailing Address - Country:US
Mailing Address - Phone:772-801-3538
Mailing Address - Fax:
Practice Address - Street 1:2949 SW STERLING ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-3267
Practice Address - Country:US
Practice Address - Phone:772-801-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9420079163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL123867000Medicaid