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 | 363LF0000X Nurse Practitioner, Family |
101YM0800X Counselor, Mental Health | |
2083B0002X Preventive Medicine, Obesity Medicine | |
Enumeration Date | 2020-07-08 |
Last Update Date | 2023-09-03 |