CARING HEART FAMILY NURSE PRACTITIONER PLLC NPI 1043801772

NPI Information

  • NPI: 1043801772
  • Provider Name: CARING HEART FAMILY NURSE PRACTITIONER PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 10D2235395
  • Address: 21 OLD KINGS RD N UNIT 108
    PALM COAST, FL
    ZIP 32137
  • Phone: (239) 222-8065

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NPI Details

CARING HEART FAMILY NURSE PRACTITIONER PLLC is a family nurse practitioner in Palm Coast, FL. CARING HEART FAMILY NURSE PRACTITIONER PLLC NPI is 1043801772. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 OLD KINGS RD N UNIT 108
PALM COAST, FL
ZIP 32137-254
Phone: (239) 222-8065
Fax: (386) 232-5152

The provider's authorized official is Evangeline Butler .
The authorized official title is Owner and has the following contact phone number (239) 222-8065.

The CLIA number assigned to this NPI record is 10D2235395 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2021 and was last updated on 10/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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