Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 11016062 | FL |
NPI | 1013671221 |
---|---|
Provider Name | Natalie Symone Doyley-Green |
First Address | Hollywood, FL 33024-8432 |
Second Address | Hollywood, FL 33024-8432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2021 |
Last Update Date | 16/11/2021 |