| NPI | 1205850823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE SANDERS Rcm Director 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-07-09 |