NPI 1689119174 · live from the CMS NPI Registry
A1 Medical & Behavioral Health LLC
Nurse Practitioner, Adult Health in St Petersburg, FL. National Provider Identifier 1689119174, active.
NPI record
| NPI | 1689119174 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Adult Health 363LA2200X |
| Practice location | 2822 54th Ave S # 215, Suite 215, St Petersburg, FL 33712 |
| Practice phone | 727-218-8961 |
| Enumerated | December 20, 2016 |
| Last updated | January 9, 2017 |
| Authorized official | Angela Harvey, Arnp |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Gerontology | 363LG0600X | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — |
| 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.