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NPI Code Detail

MEDICARE: VANESSA ALEXANDRA ALBAN APRN, PMHNP-BC

MEDICARE: VANESSA ALEXANDRA ALBAN APRN, 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
1363L00000XNurse Practitioner11009186FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner11009186FL

General Provider Information

NPI Number : 1841883618
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA ALEXANDRA ALBAN APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 7418 MICHIGAN ISLE RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7789
Country : US
Telephone Number : 954-478-7079
Fax Number :
Provider Business Practice Location Address
First Line : 1903 S CONGRESS AVE STE 455
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-6559
Country : US
Telephone Number : 954-478-7079
Fax Number : 949-561-5955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2021
Last Update Date : 11/02/2023

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