| NPI | 1245028950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SCHABEN Chief Operating Officer (COO) 740-457-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-09-10 |