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Organization

EXCELSIOR BEHAVIORAL HEALTH & WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKELSON PIERRE NURSE PRACTITIONER (PSYCHIATRIC NURSE PRACTITIONER)
(786) 339-2528
Entity
Organization

Contact information

Practice address
54 SW 15TH TER, HOMESTEAD, FL 33030-6686
(786) 339-2528
Mailing address
54 SW 15TH TER, HOMESTEAD, FL 33030-6686
(786) 339-2528

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/17/2025
Last updated
01/17/2025
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