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 | 363L00000X | Nurse Practitioner | | ARNP 9164727 | FLORIDA | No |
| 2 | 363L00000X | Nurse Practitioner | | 80435 | NEW MEXICO | No |
| 3 | 363L00000X | Nurse Practitioner | | 1159783 | TEXAS | No |
| 4 | 363LF0000X | Nurse Practitioner | Family | ARNP 103102 | GEORGIA | Yes |