Organization · Type 2 NPI

Indian River Medical Office PA

Nurse Practitioner · Titusville, FL

NPI number 1467840710 Active

Practice location

3300 Dairy Rd
Titusville, FL 32796-1512

Fax (321) 269-2334

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1189412 (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…

10 other providers at this address

About NPI 1467840710

Indian River Medical Office PA's National Provider Identifier is 1467840710, issued on Jan 8, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Titusville, FL. The record was last updated on Jan 8, 2015.