Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP3308972 | FL |
NPI | 1003824277 |
---|---|
Provider Name | Mrs. Denise Angele Joseph |
First Address | West Palm Beach, FL 33407-3241 |
Second Address | Fort Pierce, FL 34950-4839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 13/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008264200 | (05) | FL |
44832 | BLUE CROSS BLUE SHIELD (01) | FL |