NPI | 1043567027 |
---|---|
Doing Business As | SALLY WEARE EDNEY CHILDREN'S HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARIA AGNES HALLMARK Director 775-742-7028 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN00284) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2012-08-09 |