Healthcare Provider Details

I. General information

NPI: 1568924256
Provider Name (Legal Business Name): ELIZABETH TOWNLEYS HARMONY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12385 SORRENTO RD STE A4
PENSACOLA FL
32507-8656
US

IV. Provider business mailing address

10941 HOLLY PARK LN
MOLINO FL
32577-5067
US

V. Phone/Fax

Practice location:
  • Phone: 850-213-6522
  • Fax: 850-304-0977
Mailing address:
  • Phone: 850-777-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH TOWNLEY
Title or Position: MGR
Credential: ARNP
Phone: 850-777-7373