| NPI | 1053126110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI LORRAINE WITBECK A RN P, Pmhnp Bc 563-260-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |