NPI | 1518547702 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMI REED CEO 405-276-8076 |
Organization Subpart ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
Additional Taxonomies | 164W00000X Licensed Practical Nurse |
207QA0505X Family Medicine, Adult Medicine | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
Enumeration Date | 2021-04-12 |
Last Update Date | 2021-04-15 |