# THE DOCTOR NURSE FOR HEALTHY AGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336901024
- **Authorized official:** DR. ALICE W BRUMLEY DNP (PRIMARY CARE PROVIDER)
- **Authorized official phone:** (561) 462-0622

## Contact information

- **Practice address:** 777 GLADES RD BLDG AZ-79, BOCA RATON, FL 33431-6496
- **Practice address phone:** (561) 297-0502
- **Practice address fax:** (561) 297-0505
- **Mailing address:** 21575 KAPOK CIR, BOCA RATON, FL 33433-3718
- **Mailing address phone:** (561) 462-0622
- **Mailing address fax:** (561) 287-8092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 05/06/2024