| NPI | 1154943793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. MULHERN Practice Manager & Co Founder 985-789-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NN1001X Chiropractor, Nutrition | |
| 111NR0400X | |
| 111NX0800X Chiropractor, Orthopedic | |
| 208D00000X General Practice | |
| 225700000X Massage Therapist | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |