| NPI | 1457184889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMASA PADILLA Owner 615-910-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |