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Organization
WIN LIFE PSYCHIATRIC CARE
Active
Organization
WIN LIFE PSYCHIATRIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NICHOLAS APRN, PMHNP (OWNER)
(832) 629-1970
Entity
Organization
Contact information
Practice address
150 E BLOOMINGDALE AVE STE 126, BRANDON, FL 33511-8176
(832) 629-1970
Mailing address
150 E BLOOMINGDALE AVE STE 126, BRANDON, FL 33511-8176
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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