NPI 1154182020 · live from the CMS NPI Registry
A New Way Healthcare, LLC
Nurse Practitioner, Primary Care in Jacksonville Beach, FL. National Provider Identifier 1154182020, active.
NPI record
| NPI | 1154182020 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Primary Care 363LP2300X |
| Practice location | 2380 3rd St S, Jacksonville Beach, FL 32250 |
| Practice phone | 904-299-0373 |
| Enumerated | January 18, 2024 |
| Last updated | February 5, 2024 |
| Authorized official | Ana Stauch, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Primary Care primary | 363LP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.