is a Nurse Practitioner in Daytona Beach, Florida. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1811106222. The last update date is .
's current location address is 303 N Clyde Morris Blvd # 8e, Daytona Beach, Florida. You can contact this provider via phone number 3864255921. The mailing address for is 303 N Clyde Morris Blvd # 8e, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 303 N Clyde Morris Blvd # 8e, Daytona Beach, Florida |
| Phone Number | 3864255921 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811106222 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 303 N Clyde Morris Blvd # 8e |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321142709 |
| Phone Number | 3864255921 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 300456 |
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Definition: (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 certifi |
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