| NPI | 1326178062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN ANN MINNICK Nurse Practitioner 1888-255-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: MA 252442) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |