Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9264143 | FL |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN9264143 | FL |
NPI | 1013289651 |
---|---|
Provider Name | Ms. Ana Maria Borrero |
First Address | Oakland Park, FL 33334-4400 |
Second Address | Oakland Park, FL 33334-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2012 |
Last Update Date | 25/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018973400 | (05) | FL |