| NPI | 1487453825 |
|---|---|
| Other Name | PICC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALAN LARIVIERE Chief Compliance Officer 502-676-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |