NPI | 1356621338 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBROAH K CHAPPA Owner 239-823-3854 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9252915) |
Enumeration Date | 2011-08-23 |
Last Update Date | 2011-08-23 |