NPI | 1033902150 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI HAMMEL Manager 407-768-4640 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-05-22 |
Last Update Date | 2025-05-22 |