| NPI | 1215439161 |
|---|---|
| Doing Business As | FAMILY PRACTICE VISITING PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | TAMMIE RENA MAIDEN Family Nurse Practitioner 937-248-9968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |