Individual provider · Type 1 NPI
Season Manuel
Psychiatric/Mental Health Nurse Practitioner · Niceville, FL
NPI number
1801580931
Active
Practice location
4400 E Highway 20 Ste 313
Niceville, FL 32578-7700
Fax (850) 807-5127
Mailing address
24555 US Highway 331 S Unit E306
Santa Rosa Beach, FL 32459-6199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11026619 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1801580931
Season Manuel's National Provider Identifier is 1801580931, issued on Jun 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Niceville, FL. The record was last updated on Jun 2, 2023.