| NPI | 1154719797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY JANSON HEUSER Cmo 502-893-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-01-31 |