| NPI | 1285236760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIZZY H PETERSEN President 919-522-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |