| NPI | 1194690545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESHA ELIZABETH WILLIAMS Owner/Nurse Practitioner 689-263-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-27 |