NPI | 1346860541 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA ANNE KUSS Owner 701-368-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-04-17 |
Last Update Date | 2022-07-19 |