| NPI | 1245614536 |
|---|---|
| Doing Business As | INDEPENDENCE VISITING PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | GREGORY DAVIS Owner 330-306-9651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-08-05 |