NPI | 1093402489 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA H DEETER President, Director 800-243-3839 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
2080P0205X Pediatrics, Pediatric Endocrinology | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
2080P0208X Pediatrics, Pediatric Infectious Diseases | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |