Organization · Type 2 NPI

Medivance Healing LLC

Nurse Practitioner · Deerfield Beach, FL

NPI number 1003782178 Active

Practice location

220 NW 38th Pl
Deerfield Beach, FL 33064-2715

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003782178

Medivance Healing LLC's National Provider Identifier is 1003782178, issued on Oct 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Oct 15, 2025.