NPI | 1255905576 |
---|---|
Former Legal Business Name | NENHEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | LAYWELL TEDOE Owner 774-257-6585 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2022-04-01 |