NPI | 1245984715 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE D HAWKINS Nurse Practitioner 443-858-7764 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |