NPI | 1174896609 |
---|---|
Other Name | CRICK AND FIFE NURSE PRACTITIONER |
Entity Type | Organization |
Authorized Contact | LARRY CRICK Owner 270-827-3573 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2012-02-14 |
Last Update Date | 2012-02-14 |