Facts
- Status
- A
- Credential
- MSN, APRN, PMHNP-BC
- Type
- Individual
- Enumeration date
- 2019-07-30
- Last updated
- 2026-08-18
Licenses
- License FL
- APRN11004531
- License FL
- RN9510809
- License FL
- Number not in the file
Location
- Practice location
- 700 W 23RD ST STE F
- City
- PANAMA CITY FL
- Postal code
- 324053936
- Phone
- 448-217-4613
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.