Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP3406272 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP3406272 | FL |
NPI | 1013156991 |
---|---|
Provider Name | Roxana Ferrera |
First Address | Orlando, FL 32806-1015 |
Second Address | Orlando, FL 32806-1015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2009 |
Last Update Date | 06/11/2012 |