Organization · Type 2 NPI
Renew Mindcare LLC
Psychiatric/Mental Health Nurse Practitioner · Port St. Lucie, FL
NPI number
1336084904
Active
Practice location
11582 SW Village Pkwy
Port St. Lucie, FL 34987-2392
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 1336084904
Renew Mindcare LLC's National Provider Identifier is 1336084904, issued on Apr 21, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 17, 2026.