| NPI | 1518836758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLULOPE MARION ROWLAND Np 469-530-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2026-04-02 |