| NPI | 1003461518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKIE LYNN VANT HUL A RN P/ Co Owner /Provider 712-470-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LF0000X Nurse Practitioner Family | |
| 363LP2300X Nurse Practitioner Primary Care | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |