NPI | 1093592966 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN LINDO CEO 443-681-9893 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2023-09-13 |
Last Update Date | 2024-05-22 |