Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 11001052 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 11001052 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | 11001052 | FL |
NPI | 1083176366 |
---|---|
Provider Name | Murielle Leon |
First Address | Miami, FL 33168-3433 |
Second Address | Miami, FL 33133-4253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2019 |
Last Update Date | 17/02/2021 |