| NPI | 1497316996 |
|---|---|
| Doing Business As | NP MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NINO KAVTARADZE Primary Care Provider, Shareholder 267-223-7738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-01-29 |