NPI | 1235996786 |
---|---|
Other Name | NURSE PRACTITIONER |
Entity Type | Organization |
Authorized Contact | BRITTANY RAQUEL JOHNSON Nurse Practitioner 443-797-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-03-01 |
Last Update Date | 2024-03-01 |