| NPI | 1033563754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ORRILL Owner/Family Nurse Practitioner 618-249-6203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |