Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN11015003 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11015003 | FL |
NPI | 1376212449 |
---|---|
Provider Name | Guetty Belance |
First Address | Miami, FL 33176 |
Second Address | Miami, FL 33187-1626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2021 |
Last Update Date | 27/10/2021 |