| NPI | 1144808676 |
|---|---|
| Doing Business As | NURSENROUTE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE M JOHNSON Registered Agent 404-589-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-04-24 |