MEDICARE: AS YOU WERE LLC

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	363LG0600X	Gerontology Nurse Practitioner

General Provider Information

NPI Number	:	1316872419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AS YOU WERE LLC

Provider Business Mailing Address
First Line	:	1225 SE NAPLES LN
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983-3125
Country	:	US
Telephone Number	:	786-543-0210
Fax Number	:

Provider Business Practice Location Address
First Line	:	1225 SE NAPLES LN
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34983-3125
Country	:	US
Telephone Number	:	786-543-0210
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ANGIE P MAITLAND
Credential	:	APRN
Telephone Number	:	786-543-0210

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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Directions to “AS YOU WERE LLC ” Practice Location

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