Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 11011781 | FL |
NPI | 1083208763 |
---|---|
Provider Name | Aurora Riera |
First Address | West Palm Beach, FL 33406-7703 |
Second Address | West Palm Beach, FL 33406-7703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2021 |
Last Update Date | 23/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11011781 | (05) | FL |
11011781 | APRN (01) | FL |