Organization
SR NP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MUNDY-RUSSELL ARNP (CEO)
(396) 339-2021
Entity
Organization
Contact information
Practice address
1275 W GRANADA BLVD STE 6A, ORMOND BEACH, FL 32174-8105
(386) 339-2021
Mailing address
245 WOODSTOCK CT, ORMOND BEACH, FL 32174-4863
(396) 339-2021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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