Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9360248 | FL |
NPI | 1003261058 |
---|---|
Provider Name | Ms. Judith M Navarro |
First Address | Hialeah, FL 33018-4918 |
Second Address | Hialeah, FL 33012-4424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2016 |
Last Update Date | 27/04/2016 |