| NPI | 1366204976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA FYNBU EGGERT Sole Member, Ap RN 913-306-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-08-20 |