NPI | 1023899309 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN N KIERNAN Np 870-403-8287 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-11-29 |