| 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 |