NPI | 1053899351 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE A. WARGO President, Owner 203-257-9503 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 7561) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2022-12-08 |