Prestige Total Health Of Nebraska, LLC
Nurse Practitioner in Winter Garden, FL. Organization (NPI-2).
NPI number1962020248
StatusActive
Last updated in NPPESJan 5, 2021
Details
- NPI
- 1962020248
- Entity type
- Organization (NPI-2)
- Legal business name
- Prestige Total Health Of Nebraska, LLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2020
- Certification date
- Jan 5, 2021
- Last updated
- Jan 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Other names
- Prestige Total Health (Doing Business As)
Practice location
912 Butter Oaks CtWinter Garden, FL 34787-2014
Phone 338-656-6562
Mailing address
912 Butter Oaks CtWinter Garden, FL 34787-2014
Phone 919-744-1592
Authorized official
Lauren Ashley Schneider
Owner/Ceo/Aprn
4076566562
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