| NPI | 1407685324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ARSENEAULT Owner 443-917-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-12-15 |