Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP1955492 | FL |
NPI | 1619063401 |
---|---|
Provider Name | Jean Saul Schiller |
First Address | Orlando, FL 32806-2008 |
Second Address | Orlando, FL 32806-2008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 15/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
302589600 | (05) | FL |
ARNP1955492 | MEDICAL LICENSE (01) | FL |