Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 9427441 | FL |
NPI | 1023492857 |
---|---|
Provider Name | Elizabeth R Stein |
First Address | Boca Raton, FL 33486-1009 |
Second Address | Boca Raton, FL 33486-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2015 |
Last Update Date | 28/02/2018 |