Unknown Individual – Gerontology Nurse Practitioner, NPI 1053376723
Gerontology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
930, South Harbor City Boulevard, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 32901
Phone: (321) 725-5050
Fax: (321) 725-9100
Type: Mailing
720, East New Haven Avenue, Downtown Melbourne, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 32901
Phone: (321) 724-4545
Fax: (321) 728-4168
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32901)
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