| NPI | 1457159493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY MILLER Cno 740-637-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |