| NPI | 1154037190 |
|---|---|
| Doing Business As | OUTLAW FAMILY HEALTH AND WELLNESS CLINIC |
| Former Legal Business Name | OUTLAW HEALTH SERVICES, LLC |
| Doing Business As | OUTLAW HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KRYSTAL OUTLAW CEO 757-748-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| 305S00000X Point of Service | |
| 253Z00000X In Home Supportive Care | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-11-07 |