| NPI | 1033801980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ROBERSON Owner 336-807-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-10-12 |