NPI | 1194522730 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRK MITCHELL Owner/CEO 877-969-6863 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-03-01 |
Last Update Date | 2025-03-01 |