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Contact Information

A TRUSTED NURSE PRACTITIONER
1101 GULF BREEZE PKWY STE 514
GULF BREEZE, FL32561-4862
 Phone: 850-990-9100
 Fax: 850-396-0142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for A TRUSTED NURSE PRACTITIONER · (Female)

NPI Number 1295368645
Status Active
Credentials
Entity Individual
Enumeration date 02/13/2020
Last updated 07/06/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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