| NPI | 1083322473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA FAST Manager 765-730-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 207P00000X Emergency Medicine | |
| 261QH0100X Clinic/Center, Health Services | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-29 |