| NPI | 1083170724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANDERSON Owner 931-808-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2019-02-19 |