Individual
Inactive
Individual
Inactive
Sole proprietor
Provider details
NPI number
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP9192876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027923400
LINKED TO PROVIDER
FL
05
—
304880200
—
FL
Enumeration date
—
Last updated
—
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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