| 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 |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-03-27 |