Organization · NPI-2

A Healthier You

Nurse Practitioner, Adult Health · St Petersburg, FL

NPI number1144915034
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1144915034
Entity type
Organization (NPI-2)
Legal business name
A Healthier You
Organization subpart
No
Enumeration date
Apr 7, 2023
Certification date
Apr 18, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health––Yes
363LG0600X Nurse Practitioner, Gerontology––
363LP2300X Nurse Practitioner, Primary Care––

Practice location

2370 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-3239

Phone 941-363-1271

Mailing address

10421 Morning Mist Ln
Sarasota, FL 34241-1516

Other practice locations

10421 Morning Mist Ln
Sarasota, FL 34241-1516

Phone 941-363-1271

Authorized official

Sofia Viner
Owner / Manager
7812486053

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