| NPI | 1154817021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ZELAYA- JOHNSTON Co Owner 405-657-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251S00000X Community/Behavioral Health | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2021-07-28 |