Vista Wellness, LLC
NPI #1346121951 in St Augustine, Florida
Provider Information
- NPI Number
- 1346121951
- Entity Type
- Organization
- Organization Name
- Vista Wellness, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 10, 2025
- Last Updated
- Sep 10, 2025
Practice Location
- Address
- 305 KINGSLEY LAKE DR STE 703
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-3045
- Phone
- (904) 800-4003
Authorized Official
- Name
- DR. BISONA YEBA BENNETT, DNP, APRN, FNP-C
- Title
- PRESIDENT
- Phone
- (904) 800-4003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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