NPI | 1225883754 |
---|---|
Entity Type | Organization |
Authorized Contact | JHOANNA ZULUAGA OLAVE Nurse Practitioner 917-607-2238 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
163WW0000X Registered Nurse Wound Care | |
207RC0000X Internal Medicine Cardiovascular Disease | |
2083B0002X Preventive Medicine Obesity Medicine | |
251E00000X Home Health | |
251F00000X Home Infusion | |
251J00000X Nursing Care | |
261QM1300X Clinic/Center Multi-Specialty | |
261QP2300X Clinic/Center Primary Care | |
302R00000X Health Maintenance Organization | |
363LA2100X Nurse Practitioner Acute Care | |
363LA2200X Nurse Practitioner Adult Health | |
363LF0000X Nurse Practitioner Family | |
363LG0600X Nurse Practitioner Gerontology | |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-04-18 |