| NPI | 1063002632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMECCA DIANE COWART CEO 346-329-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 1041C0700X Social Worker, Clinical | |
| 133V00000X Dietitian, Registered | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 207Q00000X Family Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-01-27 |