Organization · Type 2 NPI
Wise Mind and Body, LLC
Psychiatric/Mental Health Nurse Practitioner · Fort Mill, SC
NPI number
1417721630
Active
Practice location
142 Nims Spring Dr
Fort Mill, SC 29715-6461
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 1417721630
Wise Mind and Body, LLC's National Provider Identifier is 1417721630, issued on Nov 8, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Mill, SC. The record was last updated on Nov 13, 2023.