Organization
ISAIAH 58 HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA BRYANT ARNP (FAMILY NURSE PRACTITIONER)
(772) 267-0516
Entity
Organization
Contact information
Practice address
494 MAPLE AVE, FORT PIERCE, FL 34982-5949
(772) 267-0516
Mailing address
PO BOX 12144, FORT PIERCE, FL 34979-2144
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ARNP9338409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717997
AMERICAN ASSOCIATION OF NURSE PRACTITIONER
FL
Enumeration date
06/12/2018
Last updated
12/16/2019
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