| NPI | 1538958525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY RATLIFF Nurse Practitioner 725-292-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-06 |