Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | 2685422 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2685422 | FL |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 2685422 | FL |
N | 363LW0102X | Nurse Practitioner - Women's Health | 2685422 | FL |
N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 2685422 | FL |
NPI | 1083094700 |
---|---|
Provider Name | Natasha Graciela Morejon |
First Address | Pembroke Pines, FL 33028-1717 |
Second Address | Pembroke Pines, FL 33028-1717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2015 |
Last Update Date | 09/06/2015 |