Agape Mobile Medicine
Nurse Practitioner, Adult Health in Fort Pierce, FL. Organization (NPI-2).
NPI number1043957350
StatusActive
Last updated in NPPESMay 18, 2022
Details
- NPI
- 1043957350
- Entity type
- Organization (NPI-2)
- Legal business name
- Agape Mobile Medicine
- Organization subpart
- No
- Enumeration date
- May 18, 2022
- Certification date
- May 18, 2022
- Last updated
- May 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
2050 Oleander Blvd Apt 1-203Fort Pierce, FL 34950-5315
Phone 772-834-1024
Mailing address
2050 Oleander Blvd Apt 1-203Fort Pierce, FL 34950-5315
Phone 877-724-2736
Authorized official
Rebecca Lurie
Aprn
8777242736
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