NPI | 1497173827 |
---|---|
Doing Business As | PRIME BY ASERACARE |
Entity Type | Organization |
Authorized Contact | HOLLY RASMUSSEN-JONES Secretary 479-201-4835 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 104100000X Social Worker |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine | |
207QH0002X Family Medicine, Hospice and Palliative Medicine | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
2081H0002X | |
2084H0002X | |
2086H0002X Surgery, Hospice and Palliative Medicine | |
Enumeration Date | 2014-04-02 |
Last Update Date | 2014-04-02 |