Organization · Type 2 NPI
Daegavinchris,llc
Gerontology Nurse Practitioner · Port St. Lucie, FL
NPI number
1891337655
Active
Practice location
4574 SW Tabor St
Port St. Lucie, FL 34953-6740
Fax (772) 871-0055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1891337655
Daegavinchris,llc's National Provider Identifier is 1891337655, issued on Oct 14, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 8, 2020.