Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 9211503 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN11000123 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11000123 | FL |
NPI | 1124599097 |
---|---|
Provider Name | Rachel Cueto-Clarke |
First Address | Coral Springs, FL 33076-3469 |
Second Address | Coral Springs, FL 33076-3469 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2018 |
Last Update Date | 09/01/2020 |