NPI | 1174955249 |
---|---|
Entity Type | Organization |
Authorized Contact | KARL LEVILLE CFO 919-833-7526 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
332900000X Non-Pharmacy Dispensing Site (Licence: NC 10340) | |
Enumeration Date | 2013-07-31 |
Last Update Date | 2025-08-25 |