| NPI | 1437026887 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALYSA ANGEL CEO/Nurse Practitioner 910-676-2227  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 171000000X Military Health Care Provider | |
| 363L00000X Nurse Practitioner | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2025-10-21 | 
| Last Update Date | 2025-10-21 |