NPI | 1083089460 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH HOPE Director Of Business Relations 877-217-4536 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ Ap8072) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |