NPI | 1013784982 |
---|---|
Doing Business As | MT WASHINGTON PEDIATRICS PLLC |
Entity Type | Organization |
Authorized Contact | ALICIA ANDERSON Owner 502-617-4068 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-12-11 |
Last Update Date | 2025-04-03 |