Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | ARNP3287312 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | 3287312 | FL |
NPI | 1063699411 |
---|---|
Provider Name | Robin Harty |
First Address | Debary, FL 32713-3957 |
Second Address | Debary, FL 32713-3957 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 29/03/2018 |