Organization · Type 2 NPI
Evergreen Mindcare, LLC
Psychiatric/Mental Health Nurse Practitioner · Miramar, FL
NPI number
1174473029
Active
Practice location
4595 SW 125th Ln
Miramar, FL 33027-3131
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 1174473029
Evergreen Mindcare, LLC's National Provider Identifier is 1174473029, issued on Jan 30, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Miramar, FL. The record was last updated on Jan 30, 2026.