Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | APRN11008162 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN11008162 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11008162 | FL |
NPI | 1134737810 |
---|---|
Provider Name | Ms. Lizabet Teresa Azzaretto |
First Address | Miami, FL 33175-4531 |
Second Address | Miami, FL 33156-7377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2020 |
Last Update Date | 17/07/2020 |