Provider Demographics
NPI: | 1568924256 |
---|---|
Name: | ELIZABETH TOWNLEYS HARMONY HEALTHCARE LLC |
Entity type: | Organization |
Organization Name: | ELIZABETH TOWNLEYS HARMONY HEALTHCARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MGR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ELIZABETH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TOWNLEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | ARNP |
Authorized Official - Phone: | 850-777-7373 |
Mailing Address - Street 1: | 10941 HOLLY PARK LN |
Mailing Address - Street 2: | |
Mailing Address - City: | MOLINO |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32577-5067 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 850-777-7373 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 12385 SORRENTO RD STE A4 |
Practice Address - Street 2: | |
Practice Address - City: | PENSACOLA |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32507-8656 |
Practice Address - Country: | US |
Practice Address - Phone: | 850-213-6522 |
Practice Address - Fax: | 850-304-0977 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2019-04-02 |
Last Update Date: | 2022-06-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Single Specialty |