Individual
CHRISTINE NICOLE OUTUMURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
14300 SW 79TH CT, PALMETTO BAY, FL 33158-1524
(305) 546-3151
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11007922
FL
363LA2200X
Adult Health Nurse Practitioner
11007922
FL
363LG0600X
Gerontology Nurse Practitioner
11007922
FL
Other
Enumeration date
07/07/2020
Last updated
12/16/2020
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