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Organization
IDEAL HEALTH NURSE PRACTITIONER IN ACUTE CARE PLLC
Active
Organization
IDEAL HEALTH NURSE PRACTITIONER IN ACUTE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JHOANNA ZULUAGA OLAVE AGACNP-BC, PMHNP-BC (NURSE PRACTITIONER)
(917) 607-2238
Entity
Organization
Contact information
Practice address
15 SPENCER DR, NEW ROCHELLE, NY 10801-3045
(917) 607-2238
Mailing address
15 SPENCER DR, NEW ROCHELLE, NY 10801-3045
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
NULL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
NULL
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
08/04/2026
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