MEDICARE: MYLIKA PRITCHETT PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11030666	FL

General Provider Information

NPI Number	:	1275155467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYLIKA PRITCHETT PMHNP-BC

Provider Business Mailing Address
First Line	:	587 E STATE ROAD 434 UNIT 3009
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-5240
Country	:	US
Telephone Number	:	863-431-1840
Fax Number	:	863-228-8626

Provider Business Practice Location Address
First Line	:	160 MLK BLVD NE UNIT 409
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-2419
Country	:	US
Telephone Number	:	863-431-1840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	05/18/2026

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Directions to “ MYLIKA PRITCHETT PMHNP-BC” Practice Location

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