| NPI | 1154141745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL RUSHER CEO 501-812-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LN0000X Nurse Practitioner Neonatal | |
| 363LN0005X Nurse Practitioner Neonatal, Critical Care | |
| 363LP1700X Nurse Practitioner Perinatal | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |