Organization · Type 2 NPI
Laurel Grace Mental Health and Wellness
Psychiatric/Mental Health Nurse Practitioner · Thonotosassa, FL
NPI number
1154024966
Active
Practice location
9614 Troncais Cir
Thonotosassa, FL 33592-3412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1154024966
Laurel Grace Mental Health and Wellness's National Provider Identifier is 1154024966, issued on Mar 22, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Thonotosassa, FL. The record was last updated on Mar 22, 2023.