| NPI | 1164144135 |
|---|---|
| Other Name | VILLAGE PRIMARY CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE QUINN Member 508-331-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |