NPI | 1497789424 |
---|---|
Entity Type | Organization |
Authorized Contact | REBA ELAINE SHOENFELT Member Manager 727-214-7079 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 3027792) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |