| NPI | 1275182677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIA LYNN RUSSENBERGER Ap RN 501-424-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |