Individual
KOIESHA MOLME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(407) 715-3310
Mailing address
P.O. BOX 2101, FORT PIERCE, FL 34950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9402229
FL
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN9402229
FL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN9402229
FL
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9402229
FL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN9402229
FL
163WP2201X
Ambulatory Care Registered Nurse
RN9402229
FL
Other
Enumeration date
08/12/2017
Last updated
12/06/2018
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