| NPI | 1386473122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LYNN BARTMUS Owner/Nurse Practitioner 725-318-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |