Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 3153852 | FL |
NPI | 1033550231 |
---|---|
Provider Name | Dennise Haughton |
First Address | Miami, FL 33183 |
Second Address | Miami, FL 33176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2013 |
Last Update Date | 27/04/2017 |