| NPI | 1063259208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOWANDA MICHEL BENTLEY CEO 908-347-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |