Provider Demographics
NPI:1679924237
Name:MONPPLAISIR, MIRLANDE
Entity type:Individual
Prefix:
First Name:MIRLANDE
Middle Name:
Last Name:MONPPLAISIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIRLANDE
Other - Middle Name:
Other - Last Name:MONPLAISIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8036 BRIANTEA DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2746
Mailing Address - Country:US
Mailing Address - Phone:561-215-1038
Mailing Address - Fax:
Practice Address - Street 1:8036 BRIANTEA DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2746
Practice Address - Country:US
Practice Address - Phone:561-215-1038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9410016163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse