Organization · Type 2 NPI

Equisential Primary Healthcare, LLC

Nurse Practitioner · Port St. Lucie, FL

NPI number 1073155107 Active

Practice location

2637 SW Import Dr
Port St. Lucie, FL 34987-2056

Fax (772) 365-0456

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 1073155107

Equisential Primary Healthcare, LLC's National Provider Identifier is 1073155107, issued on Oct 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 8, 2020.