| NPI | 1174408116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIVIC VANOVER CEO/Owner 856-448-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |