| NPI | 1467811224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA E MCEVERS Nurse Practitioner Owner 505-500-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 100100) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2021-12-29 |