Organization · Type 2 NPI
C.&s. Health Service
Primary Care Nurse Practitioner · Port St. Lucie, FL
NPI number
1407418361
Active
Practice location
4052 SW Kadlic St
Port St. Lucie, FL 34953-5672
Fax (772) 361-7944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1407418361
C.&s. Health Service's National Provider Identifier is 1407418361, issued on Jul 1, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 1, 2019.