Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP 9228837 | FL |
N | 363LC1500X | Nurse Practitioner - Community Health | ARNP9228837 | FL |
Y | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP 9228837 | FL |
NPI | 1609122548 |
---|---|
Provider Name | Mrs. Elizabeth Allatta |
First Address | Key West, FL 33040-4736 |
Second Address | Key West, FL 33040-4736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2012 |
Last Update Date | 30/07/2012 |