NPI | 1366895716 |
---|---|
Entity Type | Organization |
Authorized Contact | TISHA C BARZYK CEO, Cco/Advanced Wound Care Expert 615-668-1983 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 174400000X Specialist |
363A00000X Physician Assistant | |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
Enumeration Date | 2016-07-21 |
Last Update Date | 2023-10-20 |