Organization
A TRUSTED NURSE PRACTITIONER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEA KATHLEEN CLOWDSLEY APRN (CEO)
(850) 990-9100
Entity
Organization
Contact information
Practice address
1101 GULF BREEZE PKWY STE 514, GULF BREEZE, FL 32561-4862
(850) 990-9100
(850) 396-0142
Mailing address
6 OCEAN VIEW DR, PENSACOLA BEACH, FL 32561-2436
(850) 384-6256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
07/06/2022
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