Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 3082062 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | 3082062 | FL |
N | 363LC1500X | Nurse Practitioner - Community Health | 3082062 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3082062 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 3082062 | FL |
NPI | 1619415924 |
---|---|
Provider Name | Antoinette Battle |
First Address | Fort Lauderdale, FL 33312 |
Second Address | Fort Lauderdale, FL 33312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2017 |
Last Update Date | 07/02/2017 |