Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP1877272 | FL |
NPI | 1003804295 |
---|---|
Provider Name | Carrie E Verhoff |
First Address | Clermont, FL 34711-3708 |
Second Address | Clermont, FL 34711-3708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2005 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
306183300 | (05) | FL |