NPI | 1275003154 |
---|---|
Former Name | JOEL NAVARRO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 55000) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 55000) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NM 72730) | |
363L00000X Nurse Practitioner (Licence: NM 72730) | |
Enumeration Date | 2018-12-04 |
Last Update Date | 2023-03-31 |