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ANDI'S INTEGRATED HEALTH CARELLC NPI 1619511755


NPI Information

NPI: 1619511755
Provider Name: ANDI'S INTEGRATED HEALTH CARE,LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1801 SE HILLMOOR DR STE C103C104
PORT SAINT LUCIE, FL
ZIP 34952
Phone: (772) 742-2111
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ANDI'S INTEGRATED HEALTH CARE,LLC is a psychiatric/mental health nurse practitioner in Port Saint Lucie, FL. ANDI'S INTEGRATED HEALTH CARE,LLC NPI is 1619511755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1801 SE HILLMOOR DR STE C103C104
PORT SAINT LUCIE, FL
ZIP 34952-553
Phone: (772) 742-2111
Fax: (772) 210-5087

The provider's authorized official is Andrea J Briner-johnson .
The authorized official title is Owner/member and has the following contact phone number (561) 339-2534.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 7/18/2022.


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 PractitionerFamilyNo
2363LP0808XNurse 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: 5/5/2024
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