| NPI | 1295104578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANNE WALKER Billing Manager 501-223-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-08-15 |