Organization · Type 2 NPI

Customized Care Management Services, LLC

Nurse Practitioner · West Palm Beach, FL

NPI number 1215397989 Active

Practice location

4121 Parker Ave
West Palm Beach, FL 33405-2507

Call (561) 460-2464 Map

Mailing address

4119 Parker Ave
West Palm Beach, FL 33405-2507

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Nurse Practitioner Primary 363L00000XARNP9227682 (FL)

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 1215397989

Customized Care Management Services, LLC's National Provider Identifier is 1215397989, issued on Feb 24, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Palm Beach, FL. The record was last updated on Jun 12, 2021.