NPI | 1477390128 |
---|---|
Doing Business As | EMPOWER WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | STACIE LYNN HOUSHOLDER Nurse Practitioner/Co Owner 260-602-3472 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-07-10 |