| NPI | 1316627045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E PAQUETTE RESENDES Np 508-895-9486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-03-28 |