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Organization
TERRA BLUE WELLNESS AND COACHING
Active
Organization
TERRA BLUE WELLNESS AND COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRYSTAL WALLS APRN (OWNER)
(321) 312-9326
Entity
Organization
Contact information
Practice address
2643 LEEWOOD BLVD, MELBOURNE, FL 32935-2839
(321) 312-9326
Mailing address
2643 LEEWOOD BLVD, MELBOURNE, FL 32935-2839
(321) 312-9326
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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