Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP 9199882 | FL |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 9199882 | FL |
NPI | 1225106677 |
---|---|
Provider Name | Mahala Saunders |
First Address | Coral Gables, FL 33146-2423 |
Second Address | Coral Gables, FL 33146-2423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2006 |
Last Update Date | 26/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP 9199882 | LICENSE NUMBER (01) | FL |