Organization · Type 2 NPI
Splendidly Made LLC
Psychiatric/Mental Health Nurse Practitioner · Bushnell, FL
NPI number
1003679457
Active
Practice location
2590 W C 48
Bushnell, FL 33513-8386
Mailing address
PO Box 333
Bushnell, FL 33513-0020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1003679457
Splendidly Made LLC's National Provider Identifier is 1003679457, issued on Jan 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bushnell, FL. The record was last updated on Jan 30, 2024.