MEDICARE: MS. ELSIE F JOSEPH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN 204912	GA
2	363LF0000X	Family Nurse Practitioner	F333182-1	NY
3	363LF0000X	Family Nurse Practitioner	ARNP9202625	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679669006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELSIE F JOSEPH ARNP

Provider Business Mailing Address
First Line	:	771 BENRIS AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-4228
Country	:	US
Telephone Number	:	678-301-8746
Fax Number	:

Provider Business Practice Location Address
First Line	:	4901 127TH TRL N
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-9067
Country	:	US
Telephone Number	:	678-301-8746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/10/2023

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