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YOUR FAVORITE NURSE PRACTITIONER LLC 1669126488

Overview
Name: YOUR FAVORITE NURSE PRACTITIONER LLC Specialty: Point of Service Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Managed Care Organizations Classification: Point of Service Specialization: . Definition of Specialty: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: YOUR FAVORITE NURSE PRACTITIONER LLC,1651 MARSHALL RD SW,WINTER HAVEN,FL,338801955,US Mailing Address: YOUR FAVORITE NURSE PRACTITIONER LLC,PO BOX 264,WINTER HAVEN,FL,338820264,US
Contact #
Practice location phone #: 5103311361 Practice location fax #: Mailing address Phone #: 5103311361 Mailing Address fax #: Authorized official Name/Telephone #:DAVIDA, NICOLE, MILLER, APRN, FNP-C, CEO 5103311361
Misc
Date NPI was obtained: 02/10/2022 Last data data was updated: 02/10/2022 Insurances:

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