Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 09349223 | NEW HAMPSHIRE | No |
| 2 | 363LF0000X | Nurse Practitioner | Family | 4017056 | KENTUCKY | No |
| 3 | 207Q00000X | Family Medicine | | 0036279 | OHIO | No |
| 4 | 207Q00000X | Family Medicine | | APRN04398 | RHODE ISLAND | No |
| 5 | 363LF0000X | Nurse Practitioner | Family | 101.0136924 | VERMONT | No |
| 6 | 207Q00000X | Family Medicine | | CNP241181 | MAINE | No |
| 7 | 363LF0000X | Nurse Practitioner | Family | AC006410 | MARYLAND | No |
| 8 | 207Q00000X | Family Medicine | | LG-0012968 | DELAWARE | No |
| 9 | 207Q00000X | Family Medicine | | NP500021346 | DISTRICT OF COLUMBIA | No |
| 10 | 207Q00000X | Family Medicine | | RN10004897 | MASSACHUSETTS | No |
| 11 | 363LF0000X | Nurse Practitioner | Family | 53-82947-072 | KANSAS | No |
| 12 | 363LF0000X | Nurse Practitioner | Family | 11009333 | FLORIDA | Yes |