| NPI | 1316662901 |
|---|---|
| Doing Business As | EASTSIDE HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NICOLE HAMILTON Owner 816-255-0837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-08-23 |