Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP 3357082 | FL |
NPI | 1467809996 |
---|---|
Provider Name | Mrs. Irma Christian |
First Address | North Miami Beach, FL 33162-1709 |
Second Address | North Miami Beach, FL 33169-5521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2016 |
Last Update Date | 13/05/2016 |