Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN9342821 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | APRN9342821 | FL |
NPI | 1063978724 |
---|---|
Provider Name | Affitin Alexandria Anderson |
First Address | Orlando, FL 32804-4644 |
Second Address | Orlando, FL 32803-1248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2019 |
Last Update Date | 18/02/2019 |