Organization · Type 2 NPI
Walden Lilly LLC
Psychiatric/Mental Health Nurse Practitioner · Fort Walton Beach, FL
NPI number
1790547313
Active
Practice location
1702 Conservation Trl Unit 104
Fort Walton Beach, FL 32547-5087
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 1790547313
Walden Lilly LLC's National Provider Identifier is 1790547313, issued on Jan 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jan 29, 2024.