| NPI | 1487244620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULANA A ALSPACH Owner Of Entity 740-503-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2023-11-22 |