Provider Demographics
NPI:1073403317
Name:MOLIERE, SHIRLEY G
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:G
Last Name:MOLIERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 SW 62ND WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5076
Mailing Address - Country:US
Mailing Address - Phone:305-316-5747
Mailing Address - Fax:954-839-6906
Practice Address - Street 1:3445 SW 62ND WAY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-5076
Practice Address - Country:US
Practice Address - Phone:305-316-5747
Practice Address - Fax:954-839-6906
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9486247163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse