Organization · Type 2 NPI
Brightsoul Behavioral & Medical Healthcare
Psychiatric/Mental Health Nurse Practitioner · Orlando, FL
NPI number
1114669991
Active
Practice location
6100 Lake Ellenor Dr Ste 205
Orlando, FL 32809-4632
Fax (407) 412-6668
Mailing address
2098 Winnetka Ct
Orlando, FL 32818-5325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114669991
Brightsoul Behavioral & Medical Healthcare's National Provider Identifier is 1114669991, issued on Apr 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Orlando, FL. The record was last updated on May 17, 2022.