Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9203513 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9203513 | FL |
NPI | 1073982021 |
---|---|
Provider Name | Marisol Llamera |
First Address | Hialeah, FL 33013-3114 |
Second Address | Hialeah, FL 33013-3114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2015 |
Last Update Date | 21/09/2015 |