NPI | 1245044940 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA WIGGINS SPEIGHTS President 310-844-3440 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
363LF0000X Nurse Practitioner, Family | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
363LX0106X Nurse Practitioner, Occupational Health | |
Enumeration Date | 2025-02-03 |
Last Update Date | 2025-05-06 |