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ADVANCED PRACTICE NURSING SERVICES LLC NPI 1720356512


NPI Information

NPI: 1720356512
Provider Name: ADVANCED PRACTICE NURSING SERVICES, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
565 MEMORIAL CIR
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 310-8766
Get Directions

ADVANCED PRACTICE NURSING SERVICES, LLC is a prescribing (medical) psychologist in Ormond Beach, FL. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. ADVANCED PRACTICE NURSING SERVICES, LLC NPI is 1720356512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

565 MEMORIAL CIR
ORMOND BEACH, FL
ZIP 32174-001
Phone: (386) 310-8766
Fax: (386) 310-8770

The provider's authorized official is Marifrances Christine Gullo .
The authorized official title is Owner and has the following contact phone number (386) 310-8766.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 12/9/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TP0016XPsychologistPrescribing (Medical)ARNP2530742FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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