NPI 1144915034 · live from the CMS NPI Registry
A Healthier You
Nurse Practitioner, Adult Health in St Petersburg, FL. National Provider Identifier 1144915034, active.
NPI record
| NPI | 1144915034 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Adult Health 363LA2200X |
| Practice location | 2370 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 |
| Practice phone | 941-363-1271 |
| Mailing address | 10421 Morning Mist Ln, Sarasota, FL 34241 |
| Enumerated | April 7, 2023 |
| Last updated | April 18, 2023 |
| Authorized official | Sofia Viner, Owner / Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology | 363LG0600X | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — |
| Nurse Practitioner, Adult Health primary | 363LA2200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.