Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9363317 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | APRN9363317 | FL |
NPI | 1053821751 |
---|---|
Provider Name | Mrs. Anne Lind |
First Address | Miami, FL 33126-2051 |
Second Address | Pt Orange, FL 32127-4544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2017 |
Last Update Date | 03/12/2021 |