Organization · NPI-2

Advarise Health LLC

Nurse Practitioner, Family · St Petersburg, FL

NPI number1992581904

StatusActive

Last updated in NPPESSep 1, 2024

Details

NPI: 1992581904
Entity type: Organization (NPI-2)
Legal business name: Advarise Health LLC
Organization subpart: No
Enumeration date: Sep 5, 2023
Certification date: Sep 1, 2024
Last updated: Sep 1, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	–	–	Yes

Practice location

7901 4th St N Ste 300
St Petersburg, FL 33702-4399

Phone 404-926-6114

Mailing address

1100 Peachtree St Ne Ste 200
Atlanta, GA 30309-4829

Phone 404-926-6119

Authorized official

Darly Micourt
Fnp
4049266114

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