| NPI | 1215534102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNN SCANLON Owner 941-993-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care |
| 163WW0000X Registered Nurse, Wound Care | |
| 363L00000X Nurse Practitioner | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-11-03 |