| NPI | 1124049770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELITA NIXON Managing Member 304-757-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV 110) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |