RENEW MINDCARE NPI 1336084904

NPI Information

  • NPI: 1336084904
  • Provider Name: RENEW MINDCARE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 11582 SW VILLAGE PKWY
    PORT SAINT LUCIE, FL
    ZIP 34987
  • Phone: (954) 507-7820

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NPI Details

RENEW MINDCARE is a psychiatric/mental health nurse practitioner in Port Saint Lucie, FL. RENEW MINDCARE NPI is 1336084904. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11582 SW VILLAGE PKWY
PORT SAINT LUCIE, FL
ZIP 34987-392
Phone: (954) 507-7820

The provider's authorized official is Nicola Osborne .
The authorized official title is Authorized Official and has the following contact phone number (954) 507-7820.

The enumeration date for this NPI number is 4/21/2026 and was last updated on 4/21/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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