| NPI | 1427368083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE FEEMSTER Credentialing Specialist 806-358-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-04-29 |