Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | APRN11006554 | FL |
NPI | 1083240527 |
---|---|
Provider Name | Yeny Patricia Companioni |
First Address | Miami, FL 33176-6321 |
Second Address | Miami, FL 33176-6321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2020 |
Last Update Date | 17/03/2020 |