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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

NPI Number 1295368645
LBN Legal business name A TRUSTED NURSE PRACTITIONER
Authorized official RENEA CLOWDSLEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2020
Last updated 07/06/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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