Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9344074 | FL |
NPI | 1003329038 |
---|---|
Provider Name | Mrs. Nadejda Dobrydnik |
First Address | Sunny Isles Beach, FL 33160-2995 |
Second Address | Hallandale Beach, FL 33009-3770 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2017 |
Last Update Date | 13/11/2017 |