Impact Practitioner Services, Llc

LBN: Impact Practitioner Services, Llc
Impact Practitioner Services, Llc is an health care organization with primary practice located at 3307 N Indian River Dr , Fort Pierce FL 34946-8418. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Impact Practitioner Services, Llc can be contacted via phone (772) 528-5991, or through Kraaz, Kelli via phone (772) 528-5991.

Contact Information

Primary practice address
3307 N Indian River Dr Fort Pierce FL 34946-8418
Phone: (772) 528-5991
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kraaz, Kelli AAPRN
Phone: (772) 528-5991

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1982457081
LBN Legal business name Impact Practitioner Services, Llc
DBA Doing business as
Authorized official Kraaz, Kelli AAPRN
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2024
Last updated Apr 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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