MODE MASSILLON NP NPI 1083573802

NPI Information

  • NPI: 1083573802
  • Provider Name: MODE MASSILLON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 15212 93RD ST N
    WEST PALM BEACH, FL
    ZIP 33412
  • Phone: (301) 672-8108

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NPI Details

Mode Massillon, NP is a family nurse practitioner in West Palm Beach, FL. Mode Massillon, NP NPI is 1083573802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15212 93RD ST N
WEST PALM BEACH, FL
ZIP 33412-744
Phone: (301) 672-8108

The enumeration date for this NPI number is 1/19/2026 and was last updated on 1/19/2026.

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 PractitionerFamilyF12250582FLORIDAYes

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: 11/21/2025

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