| NPI | 1104677095 |
|---|---|
| Other Name | ENVISION INTERGRATIVE SERVICES |
| Entity Type | Organization |
| Authorized Contact | NICOLE FLEMMING Billing And Credentialing Manager 843-640-9342 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-06-06 |