Kerlyne Adeus, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · North Miami Beach, FL
NPI 1396572897 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1396572897
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11034492 (FL)
- Practice address
- 1361 NE 157TH St
North Miami Beach, FL 33162-5543 - Phone
- (305) 967-2915
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11034492 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11034492 | FL | Yes |
Addresses
Primary practice location
1361 NE 157TH St
North Miami Beach, FL 33162-5543
Mailing address
1361 NE 157TH St
North Miami Beach, FL 33162-5543
Phone (305) 967-2915
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All providers in North Miami Beach, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.