| NPI | 1295302636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE ANDERSON Registered Nurse/Owner 502-888-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 174400000X Specialist | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-08-20 |