NPI | 1437610334 |
---|---|
Doing Business As | VICTORIAN HEALTHCARE |
Entity Type | Organization |
Authorized Contact | NATHANIEL BURKS Co Owner 469-386-5733 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2019-03-25 |
Last Update Date | 2023-12-20 |