| NPI | 1053649293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A JOHNS Sole Mbr 866-961-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |