Jeanne Chatham Gottlieb, ARNP

Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Village of Palmetto Bay, FL

NPI 1609071372 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609071372
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Nurse Practitioner 363LX0001X
License
1451552 (FL)
Practice address
9333 SW 152ND St
Village of Palmetto Bay, FL 33157-1778
Phone
(305) 256-5356
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1451552FLMDObstetrics & Gynecology Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1451552 FL Yes

Addresses

Primary practice location

9333 SW 152ND St
Village of Palmetto Bay, FL 33157-1778

Mailing address

9801 SW 148TH Ter
Miami, FL 33176-7848
Phone (305) 253-5209

Other providers in Village of Palmetto Bay, FL

All providers in Village of Palmetto Bay, FL · Obstetrics & Gynecology Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.