Individual
AFUA NTIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1836
(850) 469-3500
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11003187
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11003187
FL
Other
Enumeration date
04/06/2019
Last updated
11/23/2022
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