| NPI | 1154035608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEY NOEL ZINK Ap RN 620-388-7741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-10-28 |