NPI | 1316772106 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK TENGEY Owner Np 978-645-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-09-03 |
Last Update Date | 2024-09-03 |