NPI | 1194556795 |
---|---|
Doing Business As | NIK RADEMAKER, DNP-FNP |
Entity Type | Organization |
Authorized Contact | NIK RADEMAKER Provider 509-954-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
Additional Taxonomies | 207Q00000X Family Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-09-17 |