Provider Demographics
NPI:1952724726
Name:PREVILUS, MARIE RACHEL (DNP, ARNP, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:RACHEL
Last Name:PREVILUS
Suffix:
Gender:F
Credentials:DNP, ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2503
Mailing Address - Country:US
Mailing Address - Phone:561-301-8675
Mailing Address - Fax:949-703-7886
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:FL
Practice Address - Zip Code:33403-2503
Practice Address - Country:US
Practice Address - Phone:561-301-8675
Practice Address - Fax:561-301-8675
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3345292363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily