| NPI | 1528517141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS SILAO Executive Director 800-843-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-11-02 |