Provider Demographics
NPI:1043724321
Name:KUSCHEL, LORENA (ARNP)
Entity type:Individual
Prefix:
First Name:LORENA
Middle Name:
Last Name:KUSCHEL
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 1:8880 ROYAL PALM BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-5727
Mailing Address - Country:US
Mailing Address - Phone:954-753-2411
Mailing Address - Fax:954-753-1176
Practice Address - Street 1:8880 ROYAL PALM BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5727
Practice Address - Country:US
Practice Address - Phone:954-753-2411
Practice Address - Fax:954-753-1176
Is Sole Proprietor?:No
Enumeration Date:2017-11-26
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9283772363LF0000X
FLAPRN9283772363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104343600Medicaid