Provider Demographics
NPI:1417712365
Name:THE NEXTDOOR NP, LLC
Entity Type:Organization
Organization Name:THE NEXTDOOR NP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:SHINN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:321-208-6215
Mailing Address - Street 1:1114 SAMAR RD
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-3067
Mailing Address - Country:US
Mailing Address - Phone:321-888-2002
Mailing Address - Fax:321-306-2876
Practice Address - Street 1:1114 SAMAR RD
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3067
Practice Address - Country:US
Practice Address - Phone:321-888-2002
Practice Address - Fax:321-306-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty