Individual
KATIE LEA EMELIANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8484 NW 36TH ST STE 300, DORAL, FL 33166-6618
(999) 999-9999
Mailing address
121 NE 34TH ST UNIT 1509, MIAMI, FL 33137-3871
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11022399
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11022399
FL
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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