Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP9377220 | FL |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP04959 | LA |
NPI | 1245413756 |
---|---|
Provider Name | Elaine Marie Major |
First Address | Philadelphia, PA 19101-3833 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 14/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010778700 | (05) | FL |
08374716 | (05) | MS |
1027979 | (05) | LA |