| NPI | 1538936646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RENEE NELSON President 641-891-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LF0000X Nurse Practitioner Family | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |