| NPI | 1396402772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA URSULA CHIPOLLINI Owner/President CEO 479-856-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-11-20 |
| Last Update Date | 2021-11-20 |