Boobology With Dr. Momo
Nurse Practitioner, Family in Niceville, FL. Organization (NPI-2).
NPI number1265239347
StatusActive
Last updated in NPPESFeb 26, 2025
Details
- NPI
- 1265239347
- Entity type
- Organization (NPI-2)
- Legal business name
- Boobology With Dr. Momo
- Organization subpart
- No
- Enumeration date
- Feb 26, 2025
- Certification date
- Feb 26, 2025
- Last updated
- Feb 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
4591 E Highway 20 Ste 202Niceville, FL 32578-8845
Phone 850-865-0406
Mailing address
105 Oakwood CirNiceville, FL 32578-4242
Phone 850-865-0406
Other practice locations
105 Oakwood Cir
Niceville, FL 32578-4242
Niceville, FL 32578-4242
Phone 850-865-0406
Authorized official
Misti D Schneidewind
Owner
8508650406
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