NPI | 1295514982 |
---|---|
Doing Business As | EVOLVE PSYCHIATRY AND WELLNESS |
Entity Type | Organization |
Authorized Contact | ASHLEY NICOLE WIGINGTON Nurse Practitioner/Owner 580-380-8772 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-09-22 |
Last Update Date | 2023-09-22 |