Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9227692 | FL |
Y | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP9227692 | FL |
NPI | 1003804105 |
---|---|
Provider Name | Ms. Elizabeth James |
First Address | St Petersburg, FL 33713 |
Second Address | St Petersburg, FL 33713 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 29/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q49476 | (02) | FL |