| NPI | 1487426375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LAUREN HATFIELD CEO 479-263-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-11-01 |