NPI 1093246027

Radiah Myrick

Practitioner Prevention Professional St Petersburg, FL

Practice location

Address: 200 78th Ave N APT 73, St Petersburg, FL 33702-4466
Phone: (727) 712-7661

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 120806 (FL)

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Community Health Worker

Other Service Providers Taxonomy 172V00000X Licence 120806 (FL)

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Registry record

NPI: 1093246027
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2017
Record last updated: 22 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.