Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 9364625 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 9364625 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | 9364625 | FL |
NPI | 1033695465 |
---|---|
Provider Name | Carolina Elena Navarro |
First Address | Miami, FL 33129-1923 |
Second Address | Miami, FL 33129-1923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2018 |
Last Update Date | 18/07/2018 |