| NPI | 1457698326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R ENGLISH Family Nurse Practitioner 980-201-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004910) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2017-01-17 |