NPI | 1235902438 |
---|---|
Doing Business As | CONQUEST HEALTH |
Entity Type | Organization |
Authorized Contact | DAVID PHELPS Owner 703-283-4215 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2023-10-31 |
Last Update Date | 2024-09-19 |