| NPI | 1033600416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAMPAS S NOLAN Ap RN / Owner 606-654-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2023-12-08 |