Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN11016932 | FL |
NPI | 1033878574 |
---|---|
Provider Name | Ms. Nathalie Dagobert |
First Address | Tamarac, FL 33321-2874 |
Second Address | Deerfield Beach, FL 33441-4109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2021 |
Last Update Date | 21/12/2021 |