Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP1704612 | FL |
Y | 363LW0102X | Nurse Practitioner - Women's Health | ARNP1704612 | FL |
NPI | 1013931773 |
---|---|
Provider Name | Joy J Munajj-Brown |
First Address | Miami, FL 33142-2826 |
Second Address | Miami Gardens, FL 33055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 02/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3065863-00 | (05) | FL |
Q30837 | (02) | FL |