| NPI | 1184114118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANNA BURKETT Nurse Practitioner 336-736-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 210912) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |