NPI | 1487648275 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA N. POWELL Owner Physician 501-623-6455 |
Organization Subpart ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AR AO1188 ANP) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2020-08-22 |