Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 9339781 | FL |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 431474 | NY |
NPI | 1023533197 |
---|---|
Provider Name | Ana Tereza Mourao |
First Address | Brooklyn, NY 11237-4006 |
Second Address | Brooklyn, NY 11237-4006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2017 |
Last Update Date | 26/11/2019 |