NPI | 1063127314 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN CHRISTOPHER SIMMONS Vice President Of Clinical Content 443-896-6295 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LF0000X Nurse Practitioner, Family | |
363LG0600X Nurse Practitioner, Gerontology | |
Enumeration Date | 2023-01-20 |
Last Update Date | 2023-01-20 |