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Organization
STAY HEALTHY
Active
Organization
STAY HEALTHY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI RICHARDSON (OWNER, APRN)
(850) 329-2932
Entity
Organization
Contact information
Practice address
325 JOHN KNOX RD STE D101, TALLAHASSEE, FL 32303-4158
(954) 873-2426
Mailing address
325 JOHN KNOX RD STE D101, TALLAHASSEE, FL 32303-4158
(850) 755-3808
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497232797
NPI
—
Enumeration date
07/30/2021
Last updated
07/14/2023
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