Myia McCloud
Individual provider Active NPI Registered Nurse · Hawthorne, FL
NPI 1306347919 · NPPES record last updated Mar 20, 2023
Key facts
- NPI
- 1306347919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9526308 (FL)
- Practice address
- 22421 SE 59TH PL
Hawthorne, FL 32640-3616 - Phone
- (904) 640-1121
- NPI assigned
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9526308 | FL | MD | Registered Nurse |
| PN5197555 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5197555 | FL | |
| Registered Nurse | 163W00000X | RN9526308 | FL | Yes |
Addresses
Primary practice location
22421 SE 59TH PL
Hawthorne, FL 32640-3616
Mailing address
22421 SE 59TH PL
Hawthorne, FL 32640-3616
Phone (706) 680-9103
Other providers in Hawthorne, FL
- Jra Health, LLC
- Lorraine N Keites
- Elizabeth Landrus
- Neil Franklin Letts
- Gillian Louissaint
- Joseph Morgan
- Mulberrys Mobile Provider Services
- Natta Lovely Care LLC
- Jakierra Oates
- Open Arms Medical Center at
All providers in Hawthorne, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.