Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN228685 | GA |
NPI | 1073191458 |
---|---|
Provider Name | Caroline Elizabeth Florey |
First Address | Atlanta, GA 30338-3940 |
Second Address | Atlanta, GA 30309-1281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2021 |
Last Update Date | 20/01/2022 |