Organization
SACRED HEART MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN AUDELL PIBURN ARNP (NURSE PRACTITIONER)
(251) 709-6297
Entity
Organization
Contact information
Practice address
5147 N 9TH AVE STE 103, PENSACOLA, FL 32504-8771
(850) 416-6886
Mailing address
5147 N 9TH AVE STE 103, PENSACOLA, FL 32504-8771
(850) 416-6886
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ARNP9324383
FL
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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