THE DOCTOR NURSE FOR HEALTHY AGING LLC
NPI 1336901024
Nurse Practitioner - Primary Care in Boca Raton, FL

Active since January 29, 2024
777 GLADES RD BLDG AZ-79, BOCA RATON, FL 33431(561) 297-0502(561) 297-0505 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Doctor Nurse For Healthy Aging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE DOCTOR NURSE FOR HEALTHY AGING LLC (NPI 1336901024) is a healthcare organization registered as a primary care in Boca Raton, Florida and active in the NPI registry since January 2024. The organization maintains a secondary practice location in Boca Raton and lists Alice W Brumley, Primary Care Provider, as its authorized official.

NPPES Registry Identity

NPI1336901024
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTHE DOCTOR NURSE FOR HEALTHY AGING LLC
Location Address777 GLADES RD BLDG AZ-79Boca Raton, FL 33431-6496
Mailing Address21575 Kapok CirBoca Raton, FL 33433-3718 · (561) 462-0622 · Fax (561) 287-8092
Fax(561) 297-0505
Organization SubpartNo
Authorized OfficialAlice W BrumleyPrimary Care Provider · (561) 462-0622
Enumeration DateJanuary 29, 2024
Last NPPES UpdateMay 6, 2024
NPPES CertifiedMay 6, 2024
NPI 1336901024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
777 GLADES RD BLDG AZ-79, Boca Raton, FL 33431

Secondary Practice Location 1

Location 121575 Kapok CirBoca Raton, FL 33433-3718 · Phone (561) 462-0622 · Fax (561) 287-8092

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
777 GLADES RD BLDG AZ-79
BOCA RATON, FL 33431
Psychologist
777 GLADES RD BLDG AZ-79
BOCA RATON, FL 33431
Nurse Practitioner (Primary Care)
777 GLADES RD BLDG AZ-79
BOCA RATON, FL 33431
Psychologist (Clinical)
777 GLADES RD BLDG AZ-79
BOCA RATON, FL 33431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Doctor Nurse For Healthy Aging LLC's NPI number?

The NPI number for The Doctor Nurse For Healthy Aging LLC is 1336901024. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is The Doctor Nurse For Healthy Aging LLC located?

The Doctor Nurse For Healthy Aging LLC is located at 777 Glades Rd Bldg Az-79, Boca Raton, FL 33431. The listed phone number is (561) 297-0502.

What is The Doctor Nurse For Healthy Aging LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for The Doctor Nurse For Healthy Aging LLC was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.