Organization · Type 2 NPI
Pure Path Healing LLC
Psychiatric/Mental Health Nurse Practitioner · Bradenton, FL
NPI number
1740163757
Active
Practice location
5700 24th St E Ste A
Bradenton, FL 34203-4940
Mailing address
7901 4th St N # 28537
St. Petersburg, FL 33702-4305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740163757
Pure Path Healing LLC's National Provider Identifier is 1740163757, issued on Jul 28, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bradenton, FL. The record was last updated on Sep 11, 2026.