NPI | 1043931892 |
---|---|
Doing Business As | ENLIGHTEN HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TONYA LEA AUCK Pmhnp 701-400-3167 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-09-09 |
Last Update Date | 2022-09-29 |