NPI 1417475013 · live from the CMS NPI Registry
A Mobile Healthcare LLC
Nurse Practitioner in Holmes Beach, FL. National Provider Identifier 1417475013, active.
NPI record
| NPI | 1417475013 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 209 82nd Street, Holmes Beach, FL 34217 |
| Practice phone | 941-545-1296 |
| Mailing address | Po Box 14669, Bradenton, FL 34280 |
| Enumerated | September 3, 2017 |
| Last updated | November 25, 2019 |
| Authorized official | Andrea Nicholas, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.