Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Chronic Care |
364SC2300X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1902532336 |
| LBN Legal business name | PRIORITY HEALTHCARE LLC |
| Authorized official | NICHOLAS PENNA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/27/2022 |
| Last updated | 07/27/2022 - About 4 years ago |
| Identifiers | n/a |
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PRIORITY HEALTHCARE LLC
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