ADVANCED HEALTHCARE SPECIALIST NPI 1760004774

NPI Information

NPI: 1760004774
Provider Name: ADVANCED HEALTHCARE SPECIALIST

Doing Business As: ADVANCED HEALTHCARE SPECIALIST

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1120 BROAD AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 596-5749
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ADVANCED HEALTHCARE SPECIALIST is a family nurse practitioner in Gulfport, MS. ADVANCED HEALTHCARE SPECIALIST NPI is 1760004774. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Healthcare Specialist.

The provider's business location address is:

1120 BROAD AVE
GULFPORT, MS
ZIP 39501-414
Phone: (228) 596-5749

The provider's authorized official is Rhonda Foles .
The authorized official title is Owner and has the following contact phone number (228) 596-5749.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 11/17/2023.

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
1	363LP2300X	Nurse Practitioner	Primary Care			No
2	363LF0000X	Nurse Practitioner	Family			Yes

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

NPI Synchronization or Removal

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