| NPI | 1073253746 |
|---|---|
| Doing Business As | ETHICA WELLCARE |
| Doing Business As | MODIFYU |
| Entity Type | Organization |
| Authorized Contact | ERICA VALLEE Director 619-997-6053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WG0000X Registered Nurse, General Practice | |
| 163WH0200X Registered Nurse, Home Health | |
| 174400000X Specialist | |
| 208D00000X General Practice | |
| 305S00000X Point of Service | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SH0200X Clinical Nurse Specialist, Home Health | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-04-20 |