NPI | 1730704875 |
---|---|
Doing Business As | SEASIDE WELLNESS OF NAVARRE |
Entity Type | Organization |
Authorized Contact | ANGELA SANDERS Owner/Nurse Practitioner 850-684-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2022-10-10 |