| NPI | 1518820091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGHOSA EVBUOMWAN Founder/CEO 314-728-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-05 |