Individual
RAQUEL LEILANI SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP-BC
Contact information
Practice address
16332 CORTEZ BLVD STE F, BROOKSVILLE, FL 34601-8980
(813) 999-1516
Mailing address
13600 WEATHERSTONE DR, SPRING HILL, FL 34609-2060
(787) 602-4792
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029042
FL
Other
Enumeration date
10/09/2023
Last updated
11/14/2023
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