NPI | 1164040069 |
---|---|
Doing Business As | LOTUS NOIRE HEALTH |
Entity Type | Organization |
Authorized Contact | TEMPERANCE TAYLOR Owner 401-305-0080 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
2083B0002X Preventive Medicine, Obesity Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-07-22 |