Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | ARNP 1565422 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP 1565422 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | ARNP 1565422 | FL |
NPI | 1366465064 |
---|---|
Provider Name | Mrs. Janet Diane Moreland |
First Address | Royal Palm Beach, FL 33411-1518 |
Second Address | Belle Glade, FL 33430-5615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P61882 | (02) |