Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | ARNP 9298529 | FL |
NPI | 1013234806 |
---|---|
Provider Name | Giselle Pelayo |
First Address | Hialeah, FL 33012-5874 |
Second Address | Hialeah, FL 33012-5874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 19/04/2016 |