Provider Demographics
NPI:1134989981
Name:GIROUX, ANGELINE BERNADETTE (HHA)
Entity type:Individual
Prefix:
First Name:ANGELINE
Middle Name:BERNADETTE
Last Name:GIROUX
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5371 NW ALMOND AVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3559
Mailing Address - Country:US
Mailing Address - Phone:954-770-6433
Mailing Address - Fax:
Practice Address - Street 1:5371 NW ALMOND AVE
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3559
Practice Address - Country:US
Practice Address - Phone:954-770-6433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2256374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide