MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC
NPI 1730952581
Nurse Practitioner - Psychiatric/Mental Health in St Augustine, FL
Active since November 03, 2023
About Magnolia Integrative Wellness & Behavioral Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC (NPI 1730952581) is a healthcare organization registered as a psychiatric/mental health in St Augustine, Florida and active in the NPI registry since November 2023. The organization lists Patricia A Gilliano, Owner, as its authorized official.
NPPES Registry Identity
NPI1730952581
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMAGNOLIA INTEGRATIVE WELLNESS & BEHAVIORAL HEALTH LLC
Location Address4320 PALM STSt Augustine, FL 32084-7303
Mailing Address4320 Palm StSt Augustine, FL 32084-7303
Phone(904) 377-1196
Organization SubpartNo
Authorized OfficialPatricia A GillianoOwner · (904) 377-1196
Enumeration DateNovember 3, 2023
NPPES CertifiedNovember 3, 2023
✔ NPI 1730952581 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4320 PALM ST, St Augustine, FL 32084
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
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730952581, enumerated as an "organization" on November 03, 2023.
The provider is located at 4320 PALM ST ST AUGUSTINE, FL 32084 and the phone number is (904) 377-1196.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
