Individual
JOHANA ESTUPINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2851 W PROSPECT RD, TAMARAC, FL 33309-2590
(954) 618-9754
Mailing address
2851 W PROSPECT RD, TAMARAC, FL 33309-2590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11025884
FL
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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