Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | ARNP3362612 | FL |
NPI | 1073599098 |
---|---|
Provider Name | Christine Palmer Monday |
First Address | Plantation, FL 33318-7540 |
Second Address | Fort Pierce, FL 34950-4803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2005 |
Last Update Date | 08/07/2007 |