| NPI | 1144983875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BARGER Np 352-508-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-05-15 |