| NPI | 1396231692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN M BUTTERFIELD Nurse Practitioner 531-500-3018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |