Organization · Type 2 NPI

Providence Community Health LLC

Nurse Practitioner · Palm Springs, FL

NPI number 1093471815 Active

Practice location

2150 S Congress Ave
Palm Springs, FL 33406-7604

Fax (561) 833-1101

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…

4 other providers at this address

About NPI 1093471815

Providence Community Health LLC's National Provider Identifier is 1093471815, issued on Nov 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Palm Springs, FL. The record was last updated on Jul 31, 2025.